[Skip to Navigation]
Sign In
Resident's Corner
March 1, 2007

New Developments in Surgery: Natural 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.

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.

Add or change institution