NOTES: Cadaveric Rendezvous Hybrid Small Bowel Resection

Natural Orifice Translumenal Endoscopic Surgery (NOTES) is an emerging field in minimally invasive surgery that is driving the development of new technology and techniques. Before NOTES gains widespread popularity, it must be proven to be a safe and efficacious technique.

There are several proposed benefits of the NOTES approach. Among these benefits are a potentially decreased rate of accidental enterotomy encountered during initial entry into the abdomen, decreased morbidity by eliminating abdominal incisions, and reduced tissue trauma by gaining access to the peritoneal cavity via a transgastric, transcolonic, or transvaginal approach. Also Included are potentially decreased abdominal pain, wound infections, and hernia formation.

This video demonstrates a successful NOTES hybrid rendezvous small bowel resection in a cadaveric model. Based on this experience using an operating endoscope and a flexible powered stapling device, it is possible that a small bowel resection with reanastamosis could eventually be performed with fewer laparoscopic ports. Additionally, a pure NOTES approach is feasible with the design of minimal additional instrumentation.

Session: Podium Presentation

Program Number: V001

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