title: [NOTES. History and current situation of natural orifice transluminal endoscopic surgery in Spain].
abstract: Natural orifice transluminal endoscopic surgery (NOTES), involves a group of new endoscopic approaches to the abdominal cavity, with potential advantages over conventional laparoscopic surgery. It is based on the possibility of performing intra-peritoneal surgical techniques through natural orifices by entering the peritoneal cavity through natural orifices perforating the organ that allows direct access to that cavity (stomach, vagina, rectum, bladder). The possibility of using this same route to access the retroperitoneum and mediastinum has subsequently been postulated. Comments are made on how the technique has been developed, as well as how it has been applied in our country, attempting to give a general view on the risks and benefits of NOTES and the basic requirements to be able to start in this new surgery.
authors.affiliation: Servicio de Cirugía, Hospital Son Llàtzer, Palma, España. jnoguera@hsll.es
authors.forename: José F
authors.initials: JF
authors.lastname: Noguera Aguilar
authors.forename: Carlos
authors.initials: C
authors.lastname: Moreno Sanz
authors.forename: Angel
authors.initials: A
authors.lastname: Cuadrado García
authors.forename: José M
authors.initials: JM
authors.lastname: Olea Martínez-Mediero
authors.forename: Rafael
authors.initials: R
authors.lastname: Morales Soriano
authors.forename: José C
authors.initials: JC
authors.lastname: Vicens Arbona
authors.forename: María L
authors.initials: ML
authors.lastname: Herrero Bogajo
authors.forename: Luis
authors.initials: L
authors.lastname: Lozano Salvá
mesh_terms: D049674:History, 21st Century; D006801:Humans; D057605:Natural Orifice Endoscopic Surgery / Q000266:history* / Q000379:methods; D012307:Risk Factors; D013030:Spain