Juan S Barajas-Gamboa, MD, Alisa M Coker, MD, Joslin Cheverie, MD, C. Aitor Macias, MD, MPH, Bryan J Sandler, MD, FACS, Garth R Jacobsen, MD, FACS, Mark A Talamini, MD, FACS, Santiago Horgan, MD, FACS UCSD Center for the Future of Surgery IntroductionNatural Orifice Transluminal Endoscopic Surgery (NOTES) procedures evolved over the past few years. […]
Subhasis Misra, MD, MS, Brenten Popiel, BS, Cathia Santos, BA, Sybilann Williams, MD, Christopher Stephenson, DO Cancer Treatment Centers of America OBJECTIVE: One of the limitations of laparoscopic solid organ surgeries is making a relatively big incision for specimen extraction. This is often encountered with large tumors and in cases where morcellation of the specimen […]
Introduction: NOTES represents a potentially less invasive alternative to conventional laparoscopy. By traversing the gastric or colonic wall to gain access to the peritoneal cavity, the traditional percutaneous route is avoided. However, breach of the gut wall raises the specter of intra-peritoneal infection. Various anti-microbial techniques have been employed—sterile saline rinse, intravenous and topical antibiotics, […]
Introduction: Despite potential advantages of hybrid-NOTES Roux-en-Y gastric bypass (RYGBP), previous research demonstrated its limitation in human cadavers and the strong need for laparoscopic assistance during NOTES for advanced procedures. We assumed that the combination of further knowledge, new instruments and techniques would offer opportunities to perform advanced laparoscopic surgery applying single incision and natural […]
The Laparoscopic Sleeve Gastrectomy is being performed as a primary bariatric operation with increasing frequency. This is the first human study reporting the results of 5 hybrid N.O.T.E.S. trans-vaginal sleeve gastrectomy operations using the new Steerable Flexible Trochar, (SFT), from Ethicon. The SFT was used to provide a stable trans-vaginal access platform for visualization during […]