Jung Myun Kwak, MD, PhD, Jin Kim, MD, PhD, Seon Hahn Kim, MD, PhD, Sung Ock Suh, MD, PhD. Korea University College of Medicine. INTRODUCTION: Transanal minimally invasive surgery (TAMIS) has been used increasingly for local excision of neoplasm in the rectum, but can be useful for other various clinical or pathological situations. The aim […]
Henry Schoonyoung, MD, Francisco Quinteros, MD, Beatriz Martin-Perez, MD, Lawna Hunter, BA, George Nassif, DO, Teresa deBeche-Adams, MD, Sergio Larach, MD, Matthew Albert, MD, Sam Atallah, MD. Florida Hospital. Introduction: TAMIS is a new approach for local excision of rectal neoplasms. It is technically demanding, and the number of cases required to gain competency has […]
Marta M Tasende Presedo, MD, Salvadora Delgado, MD, Gabriel G Diaz Del Gobbo, MD, Maria Fernandez, MD, Jaume Balust, MD, Dulce Momblan, MD, Raquel Bravo, MD, Antonio M de Lacy, PhD, MD. Department of Gastrointestinal Surgery, Institute of Digestive and Metabolic Diseases, Hospital Clinic, IDIBAPS, Centro de Investigacion Biomedica en Red de Enfermedades Hepaticas y […]
Smita Sihag, MD, David W Rattner, MD, Ozanan R Meireles, MD. Massachusetts General Hospital. Per oral endoscopic myotomy (POEM) still represents a novel procedure that more and more high-volume centers are seeking approval to perform for the treatment of achalasia. Here, we present a video demonstration of a successfully completed POEM at our center. In […]
Sam Pakraftar, MD, Chris Dwyer, MD, Harry W Sell, MD, Kurt Stahlfeld, MD. UPMC Mercy. Objective of the study/technique: To determine whether natural orifice drainage of perforated ulcer disease is feasible. Description of the methods: To treat a peforated duodenal ulcer associated with a large abcess cavity in the lesser sac in a patient who […]
Rebecca Kowalski, MD, John Romanelli, MD, David Desilets, MD, David Earle, MD. Baystate Medical Center, Tufts University School of Medicine. This video highlights the techniques we are using to perform NOTES transgastric ventral hernia repair in a porcine model. This is a pilot study to show that we are able to deliver a mesh into […]
Emanuele Lezoche, MD, FACS, Silvia Quaresima, MD, Andrea Balla, MD, Giancarlo D’Ambrosio, MD, Alessandro M Paganini, MD, PhD, FACS. Department of General Surgery, Surgical Specialties and Organ Transplantation “Paride Stefanini”, Sapienza University of Rome, Italy. INTRODUCTION – ELRR by TEM is a valid alternative to TME in selected patients with early low rectal cancer, with […]
Francesco Stipa, MD, PhD, FACS, Emanuele Soricelli, MD, Pietro Delle Site, MD, Ettore Santini, MD. Department of Surgery, Colorectal Surgical Unit. San Giovanni Addolorata Hospital – Rome. Purpose: Since its introduction in the early 1980s, Transanal Endoscopic Microsurgery (TEM) has become a safe surgical option for large polyps and low risk rectal cancers . Recently […]
Ryan M Juza, MD, Tung T Tran, MD, Eric M Pauli, MD. Penn State Milton S. Hershey Medical Center. Transabdominal tube drainage is a well described surgical technique for drainage of a blind-ending luminal structure particularly in the emergent setting. A potentially serious complication of transabdominal drainage includes dislodgement of the tube leading to free perforation and […]
Elie K Chouillard, MD, PhD. Department of General Surgery, POISSY SAINT GERMAIN MEDICAL CENTER. Background: Natural Orifice Transluminal Endoscopic Surgery (NOTES) is an emerging surgical approach. In humans, “pure” NOTES is still slowed down by technical hurdles. However, “Hybrid” variants have been increasingly reported. Total mesorectal excision (TME) is the best treatment for patients with […]
Goutaro Katsuno, MD, PhD, Masaki Fukunaga, MD, PhD, Yoshifumi Lee, MD, PhD, Kunihiko Nagakari, MD, PhD, Masahiko Sugano, MD, PhD, Masaru Suda, MD, PhD, Yoshito Iida, MD, PhD, Seiichirou Yoshikawa, MD, PhD, Masakazu Ouchi, MD, PhD, Yoshitomo Itou, MD, PhD, Yoshinori Hirasaki, MD, PhD, Daisuke Azuma, MD, Shintaro Kohama, MD, Jun Nomoto, MD. Department of […]
Danielle M Giesler, MD, Mark A Casillas, Jr., MS, MD. The University of Tennessee Graduate School of Medicine, Department of Surgery. BACKGROUND: Transanal endoscopic microsurgical (TEM) resection is associated with improved outcomes compared to transanal excision of rectal lesions. However, TEM equipment requires additional operative setup time, and tumor location dictates patient positioning. Transanal minimally […]
Sebastian H Lamm, MD, Andreas Zerz, MD, Daniel C Steinemann, MD. Cantonal Hospital Baselland, Department of Surgery, CH-4101 Bruderholz, Switzerland. In this instructive HD 3D video we present our technique of transvaginal hybrid-NOTES anterior resection in diverticular disease. The film combines intra- and extracorporal pictures, simultaneous taken during the operation in HD 3D quality with […]
Woojin Ahn, PhD, Saurabh Dargar, Tansel Halic, PhD, Ganesh Sankaranarayanan, PhD, Kurt Roberts, MD, Suvranu De, ScD. Rensselaer Polytechnic Institute, Troy; University of Central Arkansas, Conway; Yale University, New Haven. INTRODUCTION The first virtual reality simulator for the Natural Orifice Translumenal Endoscopic Surgery (NOTES), VTESTTM was developed to train surgeons in the hybrid transvaginal NOTES […]
Sebastian H Lamm, MD, Andreas Zerz, MD, Isabell Schmitz, Daniel C Steinemann, MD. Cantonal Hospital Baselland, Department of Surgery, CH-4101 Bruderholz, Switzerland. Introduction Natural Orifice Transluminal Endoscopic Surgery is an evolving technique reducing the access trauma. Transvaginal cholecystectomy and transvaginal anterior resection has been shown to be safe and feasible. Postoperative pain is reduced and […]
Beatriz Martin-Perez, MD, Francisco Quinteros, MD, Henry Schoonyoung, MD, Lawna Hunter, BA, George Nassif, DO, Matthew Albert, MD, FACS, FASCRS, Sam Atallah, MD, FACS, FASCRS. Florida Hospital. TAMIS is a rapidly developing approach to high-quality excision of rectal neoplasia. It is best suited for lesions in the lower and mid-rectum, but TAMIS can be used […]
Yu Tian, MD, PhD, Shuodong Wu, Yinghan Chen, Danbo Wang. Department of General Surgery,Shengjing Hospital, China Medical University. Background: Natural orifice transluminal endoscopic surgery ( NOTES) involves the introduction of instruments through a natural orifice into the peritoneal cavity to perform surgical interventions. The vagina is the most widely used approach to NOTES. We report […]
Irene J Lo, MD, Paul Suding, MD, Giovanni Begossi, MD, Rupert Horoupian, MD, Ajay K Upadhyay, MD. Alta Bates Summit Medical Center (Oakland and Berkeley, California), St. Rose Hospital (Hayward, California). INTRODUCTION: Transanal endoscopic microsurgery (TEM) was initially developed in the early 1980s as a minimally invasive option for the surgical management of rectal neoplasms […]
Elisabeth C McLemore, MD, Cristina R Harnsberger, MD, Patricia Sylla, MD, Ryan C Broderick, MD, Alberto S Gallo, MD, Martin A Berducci, MD, Alisa M Coker, MD, Moneer Almadani, MD, Hans F Fuchs, MD, Garth R Jacobsen, MD, Santiago Horgan, MD. University Of California, San Diego. The majority of surgically treated rectal cancer via a […]
Homero Rivas, MD, MBA, Shushmita Ahmed, MD, Michael Russo, MD. Stanford University School of Medicine. Introduction: Per oral endoscopic myotomy (POEM) is a novel endoscopic procedure for treatment of esophageal achalasia. We have implemented POEM at our institution since early 2012, and now it represents the treatment of choice of most patients with esophageal achalasia. […]
Masao Fujiwara, MDPhD, Hirohito Mori, MDPhD, Yuji Nishizawa, MDPhD, Akihiro Kondo, MD, Keiichi Okano, MDPhD, Tsutom Masaki, MDPhD, Yasuyuki Suzuki, MDPhD. Department of Gastroenterological Surgery and Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kagawa, Japan. Natural orifice transluminal endoscopic surgery (NOTES) is a minimally invasive surgery, but the procedures using only a […]
Miguel A Hernandez, MD, Morris E Franklin, MD, FACS, Zanndor Del Real Romo, MD, Guillermo Peralta, MD, Denisse L Sepulveda, MD, David Martinez, MD. Texas Endosurgery Institute. Background: Since the first laparoscopic approach for colonic disease, minimal access techniques have revolutionized colonic surgery. Natural orifice specimen extraction (NOSE) offers the advantages of laparoscopic surgery and […]
Maria Bergstrom, MD, PhD, Asghar Azadani, MD, Jorge Alberto Arroyo Vazquez, MD, Per-Ola Park, Professor. Dept of Surgery, South Alvsborg Hospital, Boras, Sweden and Gothenburg University, Gothenburg, Sweden. Introduction The aim of this study was to investigate whether a NOTES procedure induces less inflammatory response than corresponding open and laparoscopic surgery. Natural Orifice Translumenal Endoscopic […]
Per-Ola Park, Professor, Caroline Rydmarker, MD, Anders Lundqvist, MD, PhD, Maria Bergstrom, MD, PhD. Dept of Surgery and Dept of Infectious disease, South Alvsborg Hospital, Boras, Sweden, Gothenburg University, Gothenburg, Sweden. Introduction The aim of this study was to investigate and characterise the gastric bacterial flora in patients with or without PPI treatment. There is […]