Natural orifice translumenal endoscopic surgery (NOTES) human experience

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Editor-In-Chief: Mohammed A. Sbeih, M.D. [mailto:msbeih@perfuse.org] Phone:617-849-2629

Synonyms and keywords: Natural orifice translumenal endoscopic surgery, Single incision laparoscopic surgery, Minimally invasive surgery, Transanal endoscopic microsurgery, Natural orifice surgery consortium for assessment and research, Society of american gastrointestinal and endoscopic surgeons.

Natural Orifice Translumenal Endoscopic Surgery (NOTES) Human Experience
There are hundreds of human cases have been reported since the first human NOTES case in India in 2003. Drs. G.V. Rao and D.N. Reddy performed transgastric appendectomy at the Asian Institute of Gastroenterology in Hyderbad, India in 2003. This was a heady experience in the NOTES field.

More than 500 cases have been reported in Germany and more than 300 cases have been reported in Brazil. Many human cases have been reported in the United States and in other countries. Most of the reported cases are not purely NOTES but with laparoscopic assistance. A few number of the reported cases are pure NOTES procedures.

Another heady human experience was performing a NOTES procedure outside the operating room (in the bedside) by Marks et al. The procedure was a transgastric retrieval of a dislodged gastrostomy tube.

Some of the reported NOTES human cases include:
 * Endoscopic drainage of pseudocyst
 * Percutaneous enteral gastrostomy salvage
 * Robotic-assisted laparoscopic transvaginal nephrectomy
 * Staging (Cancer)
 * Transanal rectosigmoid resection
 * Transgastric appendectomy
 * Transgastric cholecystectomy
 * Transgastric debridement of necrotizing pancreatitis
 * Translumenal feeding gastrostomy
 * Transvaginal donor kidney extraction
 * Transvaginal cholecystectomy
 * Transvaginal appendectomy