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From the Archives Journals
October 3, 2007

Natural Orifice Transluminal Endoscopic Surgery

Author Affiliations

Author Affiliations: Department of Surgery, Penn Presbyterian Medical Center, University of Pennsylvania School of Medicine, Philadelphia.

JAMA. 2007;298(13):1560-1561. doi:10.1001/jama.298.13.1560


What if a surgeon could enter the abdominal cavity without making an incision in the abdominal wall? What if that surgeon could use a fiberoptic scope, pass it through a natural orifice such as the mouth, make an incision in the stomach, examine the abdominal cavity, perform biopsies, perhaps remove an organ or repair a defect, then close the incision in the stomach and be done with it? There would be no visible scars. Would there be less pain? Would it be safe? Who is equipped to find out?