Hybrid Transvaginal NOTES Sleeve Gastrectomy in a Pocine Model Using a Magnetically Anchored Camera and Novel Instrumentation
Introduction: The purpose of this study was to determine the feasibility of transvaginal NOTES sleeve gastrectomy using novel instrumentation in a porcine model.Methods: Anesthetized pigs (non-survival (n=7), 14-day survival (n=1)) underwent sleeve gastrectomy procedures. Under endoscopic visualization, a 25mm x 40cm access port was inserted through a vaginotomy into the peritoneal cavity using blunt dissection… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Indications for Natural Orifice Transluminal Endoscopic Surgery in Surgical Oncology
Introduction:Recent publications suggest that transluminal interventions may be a promising alternative to laparoscopy in the field of minimal invasive surgery. Until now it remains unclear which endoscopic technique should be applied and which access route is considered safe and feasible. Possible indications for natural orifice transluminal surgery (NOTES) are still under discussion. Methods:From May 2007… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Transvaginal Repair of a Chronic Porcine Ventral Hernia Using Synthetic Mesh.
Background In the era of laparoscopic surgery ventral incisional hernias still remain a common surgical problem. Natural orifice transluminal endoscopic surgery (NOTES) may enable intraperitoneal access without the need for abdominal wall incisions with possible faster recovery and less complications. We tested the feasibility of transvaginal placement of a large synthetic mesh (Proceed, Ethicon Inc.)… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
3d NOTES Navigation System By Magnetic Scope Detection and Osirix Virtual Laparoscopy
Purpose：In NOTES (Natural orifice translumenal endoscopic surgery), the first barrier of the operation in the abdominal cavity is scope orientation. Particularly transgastric NOTES is regarded as a challenging endoscopic procedure because of the unpredictable nature of scope formation and location in the abdominal cavity. These forced situations may result in an incomplete or lengthy procedure… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Endoluminal Assistance During Minimally Invasive Esophagectomy for Esophageal Cancer
Background: In Japan many cases with early esophageal cancer have been treated by endoscopic mucosal resection (EMR). Recently submucosal dissection (ESD) is being increasingly used for the treatment of superficial esophageal cancer including some T1b cancer. If pathological examination reveals vessel invasion around the lesion or deep T1b, additional treatment is required because of the… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Transgastric Cholecystectomy Using the Endosamurai – A Novel Endoscopic Operating Platform
One of the basic operating tenets in surgery is the principle of traction/countertraction. This ability is significantly hampered when performing NOTES procedures using standard flexible endoscopes with parallel instrument channels. New technologies must be developed to obtain the dexterity offered by laparoscopic surgery. We demonstrate a transgastric cholecystectomy in a porcine model using a prototype… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Endolumenal / NOTES
NOTES Transgastric Cholecystectomy: One-year Follow-up
OBJECTIVE: Natural orifice translumenal endoscopic surgery (NOTES) is still a new and investigative technique. To date, published short-term outcomes have been promising. Little is known about the long term effects of novel access routes for standard surgeries. Here we present long-term data of the first human transgastric cholecystectomies performed one year ago. METHODS: Four patients… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Trans-oral Endoscopic Removal of an Eroded Adjustable Gastric Band
Erosion of a laparoscopic adjustable band is a feared complication occurring in less than 0.5% of placed cases. Once diagnosed, removal is imperative. The options for removal include open, laparoscopic and endoscopic approaches. We present for review a video case presentation of an endoscopic removal of an intragastric erosion of an adjustable gastric band. Our… Continue Reading
- Topic:
- Endolumenal / NOTES
Development of a Pancreatic Tumor Animal Model and Assessment of Feasibility of NOTES™ Tumor Enucleation As a Multidisciplinary Approach – a Noscar™-funded Project.
BACKGROUND: Laparoscopic distal pancreatectomy is associated with a high morbidity and mortality. We could demonstrate the feasibility of endoscopic transgastric distal pancreatectomy in the porcine animal model. NOTES tumor enucleation may provide an alternative to distal pancreatectomy. The goal of this study was to determine the feasibility of NOTES tumor creation and enucleation as a… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Endoluminal Vertical Gastroplasty
Although laparoscopic bariatric procedures have dramatically reduced the morbidity and mortality associated with them, there is still morbidity associated with a transabdominal procedure. An endoluminal procedure would theoretically have no more risk or difficulty in an obese patient compared to a normal weight one. Furthermore, an endoluminal procedure, if possible, would avoid all wound and… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Endolumenal / NOTES
NOTES Specimen Retrieval Using Novel Endoscopic Instrumentation
INTRODUCTION: Currently, there is no ideal specimen retrieval bag for NOTES. This study tested the efficacy and reliability of a novel through-the- scope (TTS) retrieval bag.METHODS: Eleven NOTES retrieval bags (Ethicon Endo Surgery) 5.5x2.5cm in size and 3.6mm in diameter were used for these experiments. The impermeable bags have a 3.5cm wire-supported articulating/rotating opening with… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Total Transgastric Appendectomy: A Reality
Objective: Natural orifice surgery is evolving into viable option for surgeons to have in their armamentarium. Totally NOTES operations have remained elusive due to safety concerns. The ability to safely enter the abdominal cavity blindly has remained a challenge therefore requiring one to multiple ports through the abdominal wall to observe entrance into the abdominal… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
A NOTES Survival Study of a Novel Gastric Closure Device: Loop-Anchor Purse-string
INTRODUCTION: Gastric closure is a key consideration in NOTES. Numerous closure methods have been reported, but none stands out as superior. Whatever the method, it should be effective, durable, tight, and easy to perform. We report our results with a new enteric closure device: Loop-Anchor Purse-String (LAPS). METHODS: Our method was previously described on explanted… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Tissue Apposition System (tas) – New Technology to Minimize Surgery for Endoscopically Unresectable Colonic Polyps
Introduction: This study reports the first clinical series using the TAS device in a feasibility study of endoscopic polypectomy as an alternative to laparoscopic colectomy (LC) for endoscopically unresectable polyps. TAS is a novel T-tag system for endoscopic placement of sutures which facilitates closure of larger defects from advanced endolumenal or translumenal endoscopic procedures. Such… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Novel Approach to NOTES Gastrotomy Creation Using the Endoscopic Cap Suction Technique
BACKGROUND: Numerous methods have been described for gastrotomy creation during Natural Orifice Translumenal Endoscopic Surgery (NOTES). These techniques are often blind, difficult to perform, or require temporary placement of a gastrostomy tube. The objective of this study is to create a safer method of NOTES gastrotomy creation.METHODS: A novel endoscopic cap suction technique was used… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES