自然腔道内镜手术（NOTES）在肝胆胰外科领域的创新：前言
Natural orifice translumenal endoscopic surgery (NOTES) for innovation in hepatobiliary and pancreatic surgery: preface.
作者信息
Sugimoto Maki
机构信息
Department of Surgery, Teikyo University Chiba Medical Center, 3426-3 Anesaki, Ichihara, Chiba, 299-0111, Japan.
出版信息
J Hepatobiliary Pancreat Surg. 2009;16(3):247-8. doi: 10.1007/s00534-009-0091-9. Epub 2009 Apr 14.
INTRODUCTION
Natural orifice translumenal endoscopic surgery (NOTES) has captured the interest of interventional endoscopists and may represent the next stage of evolution of minimally invasive surgery. It provides the potential for performance of incisionless operations. It is gaining momentum both in the animal laboratory and in human case reports. Developments in the field of NOTES have led to the formation of the Natural Orifice Surgery Consortium for Assessment and Research (NOSCAR) in 2006.
MATERIALS AND METHODS
In this special issue, the current trends in NOTES in the field of hepatobiliary and pancreatic surgery are featured, including NOTES cholecystectomy, hepatectomy splenectomy, pancreatic necrosectomy, and the future of NOTES. In this issue, we discuss the potential benefits of these procedures in hepatobiliary and pancreatic surgery.
CONCLUSION
We have just started the evaluation process for this new technology. The concept of NOTES is becoming established and is enormously advantageous for the patient. Both the surgeon and gastroenterologist should contribute to developing NOTES in making use of their specialties.
引言
经自然腔道内镜手术（NOTES）已引起介入内镜医师的关注，可能代表着微创手术的下一阶段发展。它为开展无切口手术提供了可能。在动物实验室和人类病例报告中，它都在不断发展。NOTES领域的进展促使自然腔道手术评估与研究联盟（NOSCAR）于2006年成立。
材料与方法
在本期特刊中，重点介绍了NOTES在肝胆胰外科领域的当前趋势，包括NOTES胆囊切除术、肝切除术、脾切除术、胰腺坏死组织清除术以及NOTES的未来发展。在本期中，我们讨论了这些手术在肝胆胰外科中的潜在益处。
结论
我们刚刚开始对这项新技术进行评估。NOTES的概念正在确立，对患者极为有利。外科医生和胃肠病学家都应利用各自的专业特长为NOTES的发展做出贡献。
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