Kim Yong Sik, Kim Chul Young, Chun Hoon Jai
Department of Internal Medicine, Institute of Digestive and Nutrition, Korea University College of Medicine, Seoul, Korea.
Korean J Gastroenterol. 2008 Mar;51(3):154-8.
Recently, the field of gastrointestinal endoscopy is developing rapidly. Once limited to the gastroinstestinal lumen, the endoscopic technology is now breaking the barriers and extending its boundary to peritoneal and pleural space. In 2004, Dr. Kalloo, a gastroenterologist, observed intraperitoneal organs of a pig using a conventional endoscope through the stomach wall. Since then, new endoscopic technique of intraperitoneal intervention with transluminal approach named the Natural Orifice Transluminal Endoscopic Surgery or NOTES has been introduced. NOTES reaches the target organ by inserting the endoscope through a natural orifice (e.g. mouth, anus, vagina, urethra) and entering the peritoneal lumen by means of making an incision on the luminal wall. After a series of successful experiences in animal studies, NOTES are now being tried on human subjects. There are still many obstacles to overcome, but bright future for this new technology is expected because of its proposed advantages of less pain, lower complication rate, short recovery time, and scarless access. In this review, we plan to learn about NOTES.
近年来，胃肠内镜领域发展迅速。内镜技术曾经局限于胃肠道管腔，如今正在突破障碍，将其边界扩展到腹膜和胸膜腔。2004年，胃肠病学家卡卢博士通过胃壁使用传统内镜观察了猪的腹腔器官。从那时起，一种名为经自然腔道内镜手术（NOTES）的经腔道腹腔介入新内镜技术被引入。NOTES通过将内镜经自然腔道（如口腔、肛门、阴道、尿道）插入并在腔道壁上切开进入腹膜腔来到达目标器官。在动物研究取得一系列成功经验后，NOTES目前正在人体上进行试验。仍有许多障碍需要克服，但由于其具有疼痛轻、并发症发生率低、恢复时间短和无疤痕进入等优势，这项新技术有望拥有光明的未来。在这篇综述中，我们计划了解NOTES。
