Erschienen in:
01.05.2011 | Editorial
Triangulation: the holy grail of endoscopic surgery?
verfasst von:
Daniel von Renteln, Melina C. Vassiliou, Thomas Rösch, Richard I. Rothstein
Erschienen in:
Surgical Endoscopy
|
Ausgabe 5/2011
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Excerpt
Interventional endoscopy has recently breached the boundaries of the gastrointestinal lumen, entering into the peritoneal cavity to perform natural orifice translumenal endoscopic surgery (NOTES) [
1‐
3]. NOTES is defined as a surgical procedure in which visualization, dissection, and organ retraction is performed with flexible endoscopic instruments through the natural orifices of the body. NOTES is theoretically scarless, and therefore, incisional hernias and associated wound infections are avoided. Other potential benefits include reduced surgical trauma resulting in less postoperative pain and adhesion formation compared with laparoscopic surgery [
3]. Currently, no randomized, controlled trial has demonstrated a true advantage of NOTES compared with laparoscopic surgery and the proposed benefits remain speculative. Thus far, and largely in animal laboratories, gastroenterologist and surgeon have opened and closed the gastrointestinal wall, peered into the peritoneal cavity, and demonstrated feasibility of organ resection [
4,
5]. Why is it that despite being eager to perform endoscopic intraperitoneal surgery, gastroenterologists and surgeons have only scratched the surface of this novel surgical approach, which is still nowhere near primetime? …
