title: [A current perspective of natural orifices transluminal endoscopic surgery (NOTES)].
abstract: Natural orifice transluminal endoscopic surgery (NOTES) represents an alternative in surgical approach, combined with the progress and experience gained from conventional and endoscopic surgery. Bibliographic research in PubMed, Medline database from 2000 to 2015 and analysis of the literature reviews found. NOTES provides vision and natural orifice approach, it has optimized operating times as well as reduced complications and better cosmetic results. Small series of patients have been reported, but there is not a valid clinical multicenter study by evidence-based medicine. NOTES can help to improve the standard operations, complemented with laparoscopic surgery rather than replace it and thus develop tools for the resolution of various diseases that require surgical treatment. This option in current surgery is safe and presents satisfactory results in the reported cases. The development of this new approach of performing surgical procedures requires further study and development of new technology in order to increase the accessibility of these procedures and represent in a practical and sustained way, a better option to approach surgical pathology.
authors.affiliation: Servicio de Cirugía General, Hospital General de México. México, D.F., México; Departamento de Cirugía, Facultad de Medicina, Universidad Nacional Autónoma de México (UNAM). México, D.F., México.
authors.forename: Eduardo E
authors.initials: EE
authors.lastname: Montalvo-Javé
authors.affiliation: Servicio de Cirugía General, Hospital General Dr. Manuel Gea González. México, D.F., México.
authors.forename: Braulio A
authors.initials: BA
authors.lastname: Crisanto-Campos
authors.affiliation: Departamento de Cirugía, Facultad de Medicina, Universidad Nacional Autónoma de México (UNAM). México, D.F., México.
authors.forename: Jesús
authors.initials: J
authors.lastname: Tapia-Jurado
authors.affiliation: Servicio de Cirugía General, Hospital General de México. México, D.F., México.
authors.forename: Edgar
authors.initials: E
authors.lastname: Montes de Oca-Duran
authors.affiliation: Servicio de Cirugía General, Hospital General de México. México, D.F., México.
authors.forename: Luis Humberto
authors.initials: LH
authors.lastname: Ortega-León
authors.affiliation: Departamento de Cirugía, Facultad de Medicina, Universidad Nacional Autónoma de México (UNAM). México, D.F., México.
authors.forename: Stefany
authors.initials: S
authors.lastname: Alcántara-Medina
authors.affiliation: Departamento de Cirugía, Facultad de Medicina, Universidad Nacional Autónoma de México (UNAM). México, D.F., México.
authors.forename: German Eduardo
authors.initials: GE
authors.lastname: Mendoza-Barrera
authors.affiliation: Servicio de Cirugía General, Hospital General de México. México, D.F., México.
authors.forename: César
authors.initials: C
authors.lastname: Athie Gutierrez
mesh_terms: D004066:Digestive System Diseases / Q000601:surgery*; D006801:Humans; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods / Q000639:trends; D016896:Treatment Outcome