Life and Health Sciences Research Institute, University of Minho, Braga, Portugal.
BJU Int. 2010 Sep;106(6 Pt B):913-8. doi: 10.1111/j.1464-410X.2010.09669.x.
Natural orifice transluminal endoscopic surgery (NOTES) is one of the most exciting concepts that has emerged recently in the surgical field. All accesses to the abdominal cavity in the porcine model using natural orifices, e.g. transgastric, transvesical, transcolonic and transvaginal, have been described and explored. The experimental feasibility of all procedures by NOTES was successfully demonstrated in the porcine model using different types of natural orifices. However, few translations to the human have been made. NOTES is in a developmental stage and much work is still needed to refine techniques, verify safety and document efficacy. This paper is an update on the experimental foundation for NOTES and hybrid NOTES and examines the opportunities presented by this new surgical vision.
经自然腔道内镜手术（NOTES）是最近在外科领域出现的最令人兴奋的概念之一。已经描述并探索了使用天然腔道（例如经胃、经膀胱、经结肠和经阴道）进入猪模型腹腔的所有方法。通过NOTES 使用不同类型的天然腔道，在猪模型中成功证明了所有手术的实验可行性。然而，很少有转化为人类的手术。NOTES 处于发展阶段，需要进行更多的工作来完善技术、验证安全性并记录疗效。本文是对NOTES 和杂交NOTES 的实验基础的更新，并检查了这种新手术视野带来的机会。
