Endoscopy 2010; 42(1): 73-76
DOI: 10.1055/s-0029-1215315
Endoscopy essentials

© Georg Thieme Verlag KG Stuttgart · New York

Natural orifice transluminal endoscopic surgery (NOTES)

S. von  Delius1 , A.  Meining1
  • 1II. Medizinische Klinik, Klinikum rechts der Isar der Technischen Universität München, Munich, Germany
Further Information

Publication History

Publication Date:
11 January 2010 (online)

Natural orifice transluminal endoscopic surgery (NOTES) is still a matter of scientific research, and indeed, the total number of peer-reviewed original papers published on NOTES has increased recently compared with previous years. This holds true for all types of NOTES-related research topics ([Fig. 1]).

In addition, various surgical procedures such as hybrid-NOTES, single-incision laparoscopic surgery (SILS), transvaginal surgery with rigid endoscopes, and transumbilical surgery with flexible endoscopes (E-NOTES), all of them adopting the concept of scarless surgery, have recently been integrated into clinical routine medicine, at least in highly specialized centers. The phrase ”NOTES” has become a trademark for innovative, minimally invasive surgery. Terminological standards have therefore been agreed on by various societies to avoid further confusion [1] [2]. The present summary therefore includes only manuscripts covering the ”classical” NOTES approach, i. e. access via natural orifices (excluding the umbilicus) using only flexible instruments.

Fig. 1 The frequency of peer-reviewed articles on natural orifice transluminal endoscopic surgery (NOTES) from September 2008 to August 2009 (red column) compared with the same time period in the previous 2 years (blue column). Non-English publications are excluded.


A. Meining, MD 

II. Medizinische Klinik
Klinikum rechts der Isar der Technischen Universität München

Ismaninger Str. 22
81675 Munich

Fax: +49-89-41404905

Email: alexander.meining@lrz.tu-muenchen.de