Laparoscopic sleeve gastrectomy with NOTES visualization--a step toward NOTES procedures.
BACKGROUND
To demonstrate that bariatric procedures can be done with natural orifice visualization (NOTES) at 2 institutions (Nucleo Universitario de Estudos de Notes Centro de Cirurgia Experimental Vila do Conde-Junqueira, Vila do Conde, Portugal and Pontificia Universidade Catolica do Rio Grande do Sul, Porto Alegre, RS, Brasil). NOTES is a new surgical approach that is being developed. It consists of the use of a minimally invasive technique in which the surgical procedure is performed through natural orifices, thereby circumventing incisions through the skin.


METHODS
We performed vertical gastrectomy or laparoscopic sleeve gastrectomy in a porcine model using vaginal route visualization.


RESULTS
A laparoscopic vertical sleeve gastrectomy with NOTES visualization in a porcine model was performed with safety.


CONCLUSIONS
Bariatric procedures can be done with NOTES with results as good as those using laparoscopic techniques.
Marchesini
João Caetano
JC
Brazilian Society for Bariatric and Metabolic Surgery. jcmarchesini@gmail.com
Cardoso
Almino Ramos
AR
Nora
Mário
M
Galvão Neto
Manoel
M
Mottin
Cláudio Corá
CC
Baretta
Giorgio
G
Padoin
Alexandre Vontobel
AV
Moretto
Myriam
M
Maggioni
Lucas
L
Alves
Leticia Biscaino
LB
Kupski
Carlos
C
D000818:Animals; D005743:Gastrectomy / Q000295:instrumentation / Q000379:methods*; D010535:Laparoscopy; D009767:Obesity, Morbid / Q000601:surgery; D013552:Swine