Randomized Study Comparing Hemodynamic and Pulmonary Effects of Transgastric Endoscopic Surgery with the Insuflation of Co2 and Air.
INTRODUCTION: There is currently interest in further expanding the capabilities of flexible endoscopic surgery to accomplish procedures that presently require laparoscopic access. Natural orifice transluminal endoscopic surgery (NOTES) is a new and rapidly evolving hybrid procedure in which flexible endoscopic technology is used to perform intra-abdominal laparoscopic surgical procedures. Flexible endoscope based endoluminal surgical procedures… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Transgastric Diagnostic Peritoneoscopy with Laparoscopic Assistance Using a Novel Flexible Toolbox for Advanced Minimally Invasive Procedures: an Initial Evaluation
Introduction: The lack of appropriate instrumentation is a potential obstacle to the feasibility of various NOTES procedures. A Rotary Access Needle (RAN- Ethicon Endo-Surgery, Inc.) and Steerable Flexible Trocar (SFT- Ethicon Endo-Surgery, Inc.) were developed as components of a Flexible Toolbox for Advanced Minimally Invasive Procedures to facilitate transgastric access, visualization, and procedures in the… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Translumenal Transparent Navigation By Osirix Gps System in Single Incision Laparoscopic Surgery and NOTES
Introduction:Because of losing 3D depth perception, manipulating instruments inside the human body during NOTES translumenal surgery and single incision laparoscopic surgery (SILS) can be very difficult for even well experienced surgeons. Classical image navigation systems are often incapable of providing support in such situations, because the reference image is usually produced as anatomical appearance from… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Peroral Endoscopic Submucosal Pyloromyotomy in In Animal Model for a New Concept of Minimally Invasive Surgery for Pyloric Stenosis
BACKGROUND: In current therapeutic strategies, pyloric stenosis is managed by open or laparoscopic myotomy. Thanks to recent improvements in flexible endoscopic instrumentation and techniques, totally peroral endoscopic approaches could reduce the invasiveness of the procedure. The aim of this study is to establish the feasibility and efficacy of endoscopic submucosal pyloromyotomy in a nonsurvival porcine… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Endolumenal / NOTES
The Fear of Transgastric Cholecystectomy: Misinterpretation of the Biliary Anatomy
Introduction:The prevention of major injury at cholecystectomy relies on the accurate dissection of the cystic duct and artery, and avoidance of major biliary and vascular structures.The advent of NOTES cholecystectomy has led to a new look and insights into biliary anatomy especially of the Calot's triangle. Here we show the clinical case of a NOTES… Continue Reading
- Topic:
- Endolumenal / NOTES
Total Transvaginal Appendectomy: Less Pain and Faster Recovery
Over the last years, minimizing minimally invasive surgery via Natural Orifice Transluminal Endoscopic Surgery (NOTES) has become the new frontier among surgeons. Although the feasibility of hybrid NOTES has been shown with good success, reports of human total or pure NOTES procedures are very limited to date. This new minimally invasive approach is believed to… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
The Self-Approximating Translumenal Access Technique (stat) Reliably Permits Transgastric Organ Resection and Retrieval
Introduction: Several studies have shown that the Self-Approximating Translumenal Access Technique (STAT) allows safe abdominal access and a reliable means of gastric closure for per-oral NOTES. Little is known, however, about the durability of the STAT tunnel under the mechanical forces required for organ resection and specimen retrieval. We hypothesized that simple extirpative abdominal operations… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Patients and Surgeons Perceptions of Natural Orifice Transluminal Endoscopic Surgery (notes), a Southamerican Point of View.
Introduction: Natural orifice transluminal endoscopic surgery (NOTES) is a surgical approach in development which appears as less invasive than laparoscopic surgery and supposes aesthetic, analgesic and potentially economic benefits. There are a large number of reports detailing surgical procedures and technologic development surrounding NOTES, but there are only a few reports about patients and surgeons… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Prospective Randomized Trial Comparing Laparoscopic and NOTES Cholecystectomy: Preliminary Results
Introduction: the feasibility of hybrid NOTES cholecystectomy has been demonstrated. The recommendations from the 4th International Conference on NOTES (Boston, 2009) encouraged randomized trials to prove the advantages of this approach. Methods: Between January and July 2009, a prospective randomized trial of hybrid NOTES cholecystectomy (H-NC) versus laparoscopic cholecystectomy (LC) for patients with symptomatic gallstone… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Transgastric Approach Does Not Increase Postoperative Infections or Complications in Swine Uterine Horn Resection
IntroductionDoubts have been raised versus NOTES surgery concerning intra abdominal infectious complications. The aim of this study was to compare the postoperative course in open, laparoscopic and transgastric surgery, specially concerning infections and postop well being in a randomized porcine survival study. Methods & Procedures30 landrace pigs were randomized to open, laparoscopic or NOTES (transgastric)… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Surgical Enteroscopy: The Potential for Less Invasive Surgical Interactions Between Laparoscopes and Intralumenal Enteroscopes
Background: Enteroscopy has improved more than any other form of flexible or rigid diagnostic endoscopy. Double balloon, single balloon, over-tube enhanced methods with stiffeners, spirals and design changes to push enteroscopes has made access to all areas of the small intestine much easier. These changes have improved diagnosis but have not led to changes in… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Transvaginal Ma-nos. Clinical Experience in Morbid Obesity and Colon Cancer
Introduction: The actual trends in surgery are the application of minimally invasive techniques. Nowadays laparoscopy has become the conventional and choice procedure in the treatment of some pathologies such as cholelithiasis. More recently, looking for minimally invasion and “no scar” procedures, surgery has begun to use the natural orifices as entrance pathways. Some examples of… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Self Expanding Metal Stents for Complications of Rygb: Do the Benefits Justify the Risks?
Introduction: Several recent reports suggest that self expanding endoluminal stents (SEES) may provide a less invasive and more effective method for managing foregut surgical complications. The objective of this study was to identify factors that might predispose to SEES migration and related complications.Methods: We retrospectively reviewed the EMR of all patients undergoing SEES placement after… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
An Experimental Study of the Efficacy of New Flexible Bipolar Forceps (bela) for Hemostasis and Cystic Duct Closure During Cholecysectomy
IntroductionFlexible bipolar forceps might offer advantages over flexible clips delivered during NOTES, SILS or conventional laparoscopic cholecystectomy. Bipolar forceps allow multiple applications of energy and might be cheaper and quicker than clips. A new bipolar coagulation device, the BELA, 3.7 mm diameter, with insulated jaws limiting thermal spread, has been shown to be effective at… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Study of Human Peritoneal Bacterial Contamination After NOTES Transgastric and Transvaginal Cholecystectomy
Introduction:The recent literature has questioned the infectious risk of natural orifice translumenal endoscopic surgery (NOTES). One important requirement of this technique is the need to minimize the risk of eritoneal contamination.Our study examines the resultant microbial contamination of the human peritoneum after transgastric and transvaginal cholecystectomy. Methods and procedures: From April 2007 to September 2009,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES