title: Laparoscopic sleeve gastrectomy with NOTES visualization--a step toward NOTES procedures.
abstract: 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.
authors.affiliation: Brazilian Society for Bariatric and Metabolic Surgery. jcmarchesini@gmail.com
authors.forename: João Caetano
authors.initials: JC
authors.lastname: Marchesini
authors.forename: Almino Ramos
authors.initials: AR
authors.lastname: Cardoso
authors.forename: Mário
authors.initials: M
authors.lastname: Nora
authors.forename: Manoel
authors.initials: M
authors.lastname: Galvão Neto
authors.forename: Cláudio Corá
authors.initials: CC
authors.lastname: Mottin
authors.forename: Giorgio
authors.initials: G
authors.lastname: Baretta
authors.forename: Alexandre Vontobel
authors.initials: AV
authors.lastname: Padoin
authors.forename: Myriam
authors.initials: M
authors.lastname: Moretto
authors.forename: Lucas
authors.initials: L
authors.lastname: Maggioni
authors.forename: Leticia Biscaino
authors.initials: LB
authors.lastname: Alves
authors.forename: Carlos
authors.initials: C
authors.lastname: Kupski
mesh_terms: D000818:Animals; D005743:Gastrectomy / Q000295:instrumentation / Q000379:methods*; D010535:Laparoscopy; D009767:Obesity, Morbid / Q000601:surgery; D013552:Swine