title: Hybrid surgery: combined laparoscopy and natural orifice surgery.
abstract: Hybrid procedures combine laparoscopy and natural orifice surgery techniques. Some groups are currently using hybrid procedures to investigate the concepts of pure natural orifice surgery. Thus far, hybrid procedures have validated the safety of transgastric peritoneoscopy, although improved instrumentation is imperative before widespread clinical applications. As technical improvements develop from hybrid surgery, gastrointestinal endoscopy and abdominal surgery could be revolutionized.
authors.affiliation: Department of Surgery, Case Western Reserve University School of Medicine, 11100 Euclid Avenue, Cleveland, OH 44106, USA.
authors.forename: Jonathan P
authors.initials: JP
authors.lastname: Pearl
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Marks
authors.forename: Jeffrey L
authors.initials: JL
authors.lastname: Ponsky
mesh_terms: D020776:Endoscopes, Gastrointestinal; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005767:Gastrointestinal Diseases / Q000601:surgery; D006801:Humans; D010535:Laparoscopy / Q000379:methods*