Casella Daniel P, Smaldone Marc C, Averch Timothy D
Department of Urology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA.
Can J Urol. 2010 Jun;17(3):5151-61.
Natural orifice transluminal endoscopic surgery (NOTES) has attracted considerable recent attention for its potential to allow traditional abdominal procedures to be performed without a transabdominal incision. With considerable experience in the development and application of minimally invasive techniques, urologists have played a significant role in early experimental NOTES efforts and have contributed to early investigations in human subjects accordingly. However, adoption of these techniques has been limited due to cumbersome endoscopic equipment and concerns regarding peritonitis from failed viscerotomy closure. Experience with use of NOTES in human subjects is limited, and studies comparing NOTES to conventional minimally invasive techniques are lacking. Until adequate endoscopes are developed to facilitate a pure NOTES approach, multiple portals of entry will be necessary to facilitate both urologic and non-urologic reconstructive and extirpative procedures. Our aim is to evaluate NOTES techniques, portals of entry, early clinical experiences, and the application of NOTES to urologic surgery.
经自然腔道内镜手术（NOTES）因其有可能在不做经腹切口的情况下进行传统腹部手术而在近期引起了相当大的关注。凭借在微创技术开发和应用方面的丰富经验，泌尿外科医生在早期NOTES实验工作中发挥了重要作用，并相应地为人体早期研究做出了贡献。然而，由于内镜设备笨重以及对内脏切开闭合失败导致腹膜炎的担忧，这些技术的应用受到了限制。NOTES在人体中的使用经验有限，且缺乏将NOTES与传统微创技术进行比较的研究。在开发出足够的内镜以促进纯粹的NOTES方法之前，需要多个进入途径来促进泌尿外科和非泌尿外科的重建及切除手术。我们的目的是评估NOTES技术、进入途径、早期临床经验以及NOTES在泌尿外科手术中的应用。
