Maiss Juergen, Zopf Yurdaguel, Hahn Eckhart G
Department of Medicine 1, University of Erlangen-Nuremberg, Erlangen, Germany.
Minim Invasive Ther Allied Technol. 2010 Oct;19(5):287-91. doi: 10.3109/13645706.2010.510671.
Natural orifice transluminal endoscopic surgery (NOTES) changes the paradigm of endoscopy and even surgery. The artificial perforation of abdominal hollow organs is now welcome and no longer avoided under all circumstances. Surgeons as well as gastroenterologists face a lot of problems, barriers and integration obstacles. The interdisciplinary approach for the introduction of a new technique appears promising and opens a lot of perspectives. This paper illustrates and discusses medical, technical, financial and professional barriers and integration obstacles for the introduction of NOTES into clinical practice.
经自然腔道内镜手术（NOTES）改变了内镜甚至外科手术的模式。现在，腹部中空器官的人工穿孔已被接受，不再在所有情况下都予以避免。外科医生和胃肠病学家都面临着诸多问题、障碍和整合难题。引入新技术的跨学科方法似乎很有前景，并开启了许多新视角。本文阐述并讨论了将NOTES引入临床实践所面临的医学、技术、财务和专业方面的障碍以及整合难题。
