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2006, Number 1-4

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Rev Mex Cir Endoscop 2006; 7 (1-4)

Surgery by natural orifices (NOTES and hands) The third surgical revolutiom?

Dávila ÁF, Tsin DA

Language: Spanish
References: 43
Page: 6-13
PDF size: 177.68 Kb.


ABSTRACT

Since laparoscopy obtained a universal acceptance in the surgical field, the restlessness of the surgeon to optimize the already well-known advantages of this minimal access surgery has not stopped. This quest includes the reduction of the size of the instruments, the narrowing of the diameter (minilaparoscopy), the reduction of the size and number of ports, and recently through a change in the traditional access to the peritoneal cavity by the use of natural orifices such as transgastric, transcolonic, transvesical and transvaginal. This new transluminal endoscopic surgery is done through the natural orifices. NOTES (Natural Orifice Transluminal Endoscopic Surgery) replaces the use of a laparoscope with a flexible endoscope with two or three working channels. There has been a lot of effort and interest made by the industry in the pursuit of NOTES, so much that it has been included in medical literature, congresses, and forums of endoscopic surgery. In this paper we present a revision of literature about this new surgical access as well as the point of view of the authors , and current advantages and disadvantages in Natural Orifice Surgery.


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