Resident's Corner
March 1, 2007

New Developments in SurgeryNatural Orifice Transluminal Endoscopic Surgery (NOTES)

Author Affiliations

RICHARD D.SCHULICKMDAuthor 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.


Copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2007

Arch Surg. 2007;142(3):295-297. doi:10.1001/archsurg.142.3.295

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.