Gastrointestinal and Minimally Invasive Surgery Division, The Oregon Clinic, Portland, Oregon 97210, USA.
Colorectal Dis. 2011 Nov;13 Suppl 7:51-4. doi: 10.1111/j.1463-1318.2011.02780.x.
Natural orifice translumenal endoscopic surgery (NOTES) is a new surgical paradigm involving performance of intra-abdominal surgery via a natural orifice and thereafter peritoneal access through an intentionally created hole in a hollow viscus. The vast majority of research in this rapidly evolving field had involved access via an oral or vaginal route. Access via a transanal route, other than the obvious concern over contamination, has many appealing attributes. In addition, transanal surgery has long been a common procedure lending a valuable clinical experience to the foundation of this field of research. Examples of preclinical and clinical research on transanal NOTES colorectal resections are here presented and discussed.
经自然腔道内镜手术（NOTES）是一种新的手术范例，涉及通过自然腔道进行腹腔内手术，然后通过在中空内脏上故意创建的孔进行腹膜进入。在这个快速发展的领域中，绝大多数研究都涉及通过口腔或阴道途径进入。经肛门途径进入，除了明显的污染问题外，还有许多吸引人的特点。此外，经肛门手术一直是一种常见的手术，为该研究领域的基础提供了宝贵的临床经验。本文介绍和讨论了经肛门 NOTES 结直肠切除术的临床前和临床研究示例。
