Natural Orifice Transluminal Endoscopic Surgery: Ausgewählte Studien des letzten Jahres

Zusammenfassung

Das Operieren über natürliche Körperöffnungen (Natural Orifice Transluminal Endoscopic Surgery, NOTES) ist weiterhin Gegenstand wissenschaftlichen Interesses. Die Anzahl an Publika­tionen zu NOTES hat im Vergleich zum Vorjahr ­erneut zugenommen. Darüber hinaus haben verschiedene chirurgische Prozeduren wie Hybrid-NOTES, die Single-Port-Laparoskopie (SILS), die transvaginale Chirurgie mit starren Endoskopen und die transumbilikale Chirurgie mit flexiblen Endoskopen (E-NOTES) das Konzept des nar­benlosen Operierens aufgenommen und Einzug in die klinische Routine gefunden, zumindest in hochspezialisierten Zentren. „NOTES“ hat sich ­damit zu einer allgemeinen Markenbezeichnung für innovative minimalinvasive Chirurgie entwickelt. Die aktuelle Übersicht stellt ausgewählte Artikel zu NOTES vor, die im Zeitraum von September 2008 bis August 2009 erschienen sind. Es wurden dabei ausschließlich Artikel mit Bezug auf NOTES mit flexiblen Instrumenten und Zugang über natürliche Körperhöhlen (ohne Nabel) berücksichtigt.

Abstract

Natural Orifice Transluminal Endoscopic Surgery (NOTES) is still a matter of scientific research. More­over, the total number of peer-reviewed original papers published on NOTES has even in­creased compared to previous years. This holds true for all types of NOTES-related research top­ics. 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 scar-less 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. The present manuscript summarizes selected articles, which have been published from September 2008 to August 2009 and are covering the “classical” NOTES approach, i. e. access via natural orifices (excluding the umbilicus) using flexible instruments.

Schlüsselwörter

Operieren über natürliche Körperöffnungen - Natural Orifice Transluminal Endoscopic Surgery - NOTES - wichtige Publikationen - Artikel - Zusammenfassung

Key words

Natural Orifice Transluminal Endoscopic Surgery - NOTES - important publications - articles - summary

Literatur

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