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
A Multitasking Platform for NOTES; A Bench Top Comparison of a New Device for Flexible Endoscopic Surgery and Standard Dual Channel Endoscope * *supported By a Noscar Grant (2006)
Background: Complex surgery requires precise, independent coordination of two instruments that can perform multiple tasks such as traction and counter traction, precise dissection, and tissue approximation. All of these are difficult to achieve with standard dual channel scopes, which have been used for most of the human NOTES cases today. The development of a multitasking… Continue Reading
- Type:
- Podium Presentations
- 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
A Novel Active Overtube for Endoscopic Treatment of Colorectal Tumors
A NOVEL ACTIVE OVERTUBE FOR ENDOSCOPIC TREATMENT OF COLORECTAL TUMORSKazuhiko Shinohara MD, Gennai Yanagisawa MScSchool of Bionics, Tokyo University of Technology, Tokyo, JapanObjective: Endoscopic resection for early colorectal tumors is minimally invasive treatment, however it requires long operation times and skillfulness to complete the en-bloc resection in safety. This weak point is caused by the… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
A Simple and Efficient Technique for Natural Orifice Translumenal Endoscopic Surgery (notes) Gastrotomy Closure Utilizing Endoscopic Clips and Loops Facilitated By Temporary Transfascial Sutures
Background: A current limitation in utilizing the stomach as a primary point of access for NOTES is the availability and reliability of the closure devices. The majority of devices described in recent reports are at an investigative or prototype only stage. Here we describe a reliable closure technique using readily available on-shelf endoscopic tools with… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Clinical Experience with a Multifunctional Flexible Surgery System for Endoluminal, Singe Port and NOTES Procedures
Introduction: Single port and incisionless surgical approaches hold the promise of fewer complications, reduced pain, faster recovery and improved cosmesis compared to traditional open or laparoscopic ones. The ability to select an access approach (i.e., endolumenal, single port, trans-vaginal or trans-gastric) with one platform may be important to optimizing individual patient results.We report our results… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Clinical Feasability of a New Colonic Access Device (megachannel™) for Interventional Procedures At Colonoscopy: A Prospective, Multicenter Trial
Background: Megachannel™ is a new colonic access system that was originally developed for colonoscopic appendectomy. Once in place, the reinforced wall protects the colon from perforation risks during rapid, multiple passes of the colonoscope to the right colon. The 20mm working channel allows the rapid and safe delivery of bulky instruments such as EUS, banders,… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Clinical Results of Alternative Technique for N.o.t.e.s. Transvaginal Cholecystectomy
Objectives: Transvaginal NOTES is a new diagnostic and potentially therapeutic method of surgical endoscopy, and clinical experience is still limited. A preliminary experience with NOTES transvaginal method for cholecystectomy is described.Methods: IRB approval was obtained at the institution for transvaginal NOTES clinical trials. The technique of transvaginal NOTES cholecystectomy was clinically applied in 15patients with… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Completely Transvaginal NOTES Cholecystectomy in a Porcine Model Using Novel Endoscopic Instrumentation
Introduction: Transvaginal NOTES Cholecystectomy has been successfully performed but all reports have required laparoscopic assistance. The purpose of this study was to perform completely transvaginal cholecystectomy in a porcine model.Methods: Pigs 1-5 underwent non-survival and Pigs 6-8 underwent 14-day survival procedures. Through a vaginotomy, a 2T gastroscope and an 18mm x 38cm access port were… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Defining the Host Immune Response to NOTES
Before natural orifice translumenal endoscopic surgery (NOTES) can be safely introduced for human use in the United States, several technical and physiologic factors need to be elucidated. Among these are the host systemic and peritoneal responses to inflammation. The inflammatory response to laparoscopy (LAP) has been well characterized, and has been shown to favorably alter… Continue Reading
- Type:
- Posters
- 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
Diagnostic Transgastric Endoscopic Peritoneoscopy: Extension of Initial Human Trial for Staging of Pancreatic Head Masses
OBJECTIVE(S): We validated Natural Orifice Translumenal Endoscopic Surgery (NOTES) in a human trial of ten patients undergoing diagnostic transgastric endoscopic peritoneoscopy (DTEP) for staging of pancreatic head masses. Reported herein is an update with 10 additional patients.METHODS: Patients in this IRB approved human trial were scheduled to undergo diagnostic laparoscopy for abdominal staging of a… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Effectiveness of a New Trocar System to Enable NOTES
Introduction: Natural orifice translumenal endoscopic surgery (NOTES) is a developing area of minimally invasive surgery. Fundamental challenges of NOTES include development of safe ways to perform translumenal access and maintaining visualization and spatial orientation using a stable operating platform. This study examines the functionality of a new rotary access needle (RAN) device and technique for… Continue Reading
- Type:
- Posters of Distinction
- 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
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