[Natural Orifice Transluminal Endoscopic Surgery (NOTES)].
Recently, the field of gastrointestinal endoscopy is developing rapidly. Once limited to the gastroinstestinal lumen, the endoscopic technology is now breaking the barriers and extending its boundary to peritoneal and pleural space. In 2004, Dr. Kalloo, a gastroenterologist, observed intraperitoneal organs of a pig using a conventional endoscope through the stomach wall. Since then, new endoscopic technique of intraperitoneal intervention with transluminal approach named the Natural Orifice Transluminal Endoscopic Surgery or NOTES has been introduced. NOTES reaches the target organ by inserting the endoscope through a natural orifice (e.g. mouth, anus, vagina, urethra) and entering the peritoneal lumen by means of making an incision on the luminal wall. After a series of successful experiences in animal studies, NOTES are now being tried on human subjects. There are still many obstacles to overcome, but bright future for this new technology is expected because of its proposed advantages of less pain, lower complication rate, short recovery time, and scarless access. In this review, we plan to learn about NOTES.
Kim
Yong Sik
YS
Department of Internal Medicine, Institute of Digestive and Nutrition, Korea University College of Medicine, Seoul, Korea.
Kim
Chul Young
CY
Chun
Hoon Jai
HJ
D034841:Abdominal Cavity / Q000601:surgery*; D016145:Endoscopy, Digestive System; D006801:Humans; D019060:Minimally Invasive Surgical Procedures