Cirurgia endoscópica transluminal por orifícios naturais: realidade atual

Natural orifice transluminal endoscopic surgery (NOTES) is an emerging experimental alternative to conventional surgery that eliminates abdominal incisions and incision-related complications by combining endoscopic and laparoscopic techniques to diagnose and treat abdominal pathology. Natural orific...

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Bibliographic Details
Main Author: Santos Filho,Paulo Vicente dos (author)
Other Authors: Santos,Marcelo Protásio dos (author), Ettinger,João Eduardo Marques Tavares de Menezes (author)
Format: article
Language:por
Published: 2009
Subjects:
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912009000200015
Country:Brazil
Oai:oai:scielo:S0100-69912009000200015
Description
Summary:Natural orifice transluminal endoscopic surgery (NOTES) is an emerging experimental alternative to conventional surgery that eliminates abdominal incisions and incision-related complications by combining endoscopic and laparoscopic techniques to diagnose and treat abdominal pathology. Natural orifice transluminal endoscopic surgery refers to the method of accessing the abdominal cavity through a natural orifice under endoscopic visualization. Since its introduction in 2004, numerous reports have been published describing different surgical interventions. Recently, a group of expert laparoscopic surgeons and endoscopists outlined the limitations of this approach and issued recommendations for progress toward human trials. Transluminal surgery is a new method for accessing the abdomen under direct endoscopic visualization. Preliminary studies have demonstrated the feasibility of this technique in animal models; however, further research is warranted to validate its safety in humans.