الفهرس | Only 14 pages are availabe for public view |
Abstract Natural Orifice Transluminal Endoscopic Surgery (NOTES) is an emerging technology that uses endoscopic instruments passed into the peritoneal cavity through hollow viscera (transgastric, transcolonic, or transvaginal) to perform surgical procedures without the use of abdominal incisions. Various potential benefits of this novel technique have been proposed. The benefits of less invasive access could completely avoid incision-related complications such as wound infection, adhesions, hernia and postoperative pain ,with shorter recovery time and lower complication rates. Published clinical trials on human include successful NOTES cholecystectomy ,appendectomy, peritoneoscopoy, liver biopsy and nephrectomy although most of them are hybrid NOTES . They represent a great success for the new technique. The cycle of development of surgery is continuing to provide a desirable new technique that conceives the available minimal access approach and provides significant improvement in its advantages. Advances in technology and training are important tomake NOTES safe and practical. Taking into consideration the active research and proposed benefits of NOTES over other techniques, evolution of current surgical practice to NOTES is anticipated to provide best surgical care. Irresistible desire to provide scarless surgery is driving modern surgery to a new era in spite of all current criticism to NOTES. Keywords: Current status Future perspective Natural orifice Transluminal Endoscopic |