Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal; ICVS/3B's-PT Government Associate Laboratory, Braga/Guimarães, Portugal.
World J Gastroenterol. 2011 Sep 7;17(33):3795-801. doi: 10.3748/wjg.v17.i33.3795.
Minimally invasive surgery started spreading worldwide in 1987, when the first laparoscopic cholecystectomy was performed. Meanwhile, improvement of endoscopic equipment and instruments allowed gastroenterologists to attempt more aggressive endoluminal interventions, even beyond the wall barrier. The first transgastric peritoneoscopy, in 2004, brought to light the concept of natural orifice transluminal endoscopic surgery (NOTES). The idea of incisionless surgery is attractive and has become a new goal for both surgeons and other people interested in this field of investigation. The authors present a review of all developments concerning NOTES, including animal studies and human experience.
微创外科始于 1987 年,当时进行了首例腹腔镜胆囊切除术。与此同时,内镜设备和器械的改进使胃肠病学家能够尝试更具侵略性的腔内介入治疗,甚至超越壁障。2004 年首例经胃腹膜内镜检查术(NOTES)的出现提出了经自然腔道内镜手术(NOTES)的概念。无切口手术的理念具有吸引力,已成为外科医生和其他对这一研究领域感兴趣的人的新目标。作者回顾了 NOTES 的所有发展,包括动物研究和人类经验。