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Natural Orifice Transluminal Endoscopic Surgery (NOTES)

Sebastian G. de la Fuente, MD; Eric J. DeMaria, MD; James D. Reynolds, PhD; Dana D. Portenier, MD; Aurora D. Pryor, MD

Arch Surg. 2007;142(3):295-297.

Natural orifice transluminal endoscopic surgery refers to the method of accessing the abdominal cavity through a natural orifice under endoscopic visualization. Since its introduction in 2004, numerous reports have been published describing different surgical interventions. Recently, a group of expert laparoscopic surgeons and endoscopists outlined the limitations of this approach and issued recommendations for progress toward human trials. Herein we review the published data and propose a series of questions to be considered for future investigations. We also address the controversy involved in the incorporation of this new technology into surgical practice.

Author Affiliations: Duke Endosurgery Center, Departments of Surgery (Drs de la Fuente, DeMaria, Reynolds, Portenier, and Pryor) and Anesthesiology (Dr Reynolds), Duke University Medical Center, Durham, NC.

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