Department of General Surgery, Affiliated First People's Hospital, Shanghai Jiao Tong University, Shanghai, China.
World J Gastroenterol. 2011 Oct 21;17(39):4382-8. doi: 10.3748/wjg.v17.i39.4382.
Although in the past two decades, laparoscopic surgery, considered as a great revolution in the minimally invasive surgery field, has undergone major development worldwide, another dramatic surgical revolution has quietly appeared in recent years. Ever since Kalloo's first report on transgastric peritoneoscopy in a porcine model in 2004, interest in a new surgical procedure named natural orifice transluminal endoscopic surgery (NOTES) has blossomed worldwide. Considering that a NOTES procedure could theoretically avoid any abdominal incision, operation-related pain and scarring, many surgeons and endoscopists have been enthusiastic in their study of this new technique. In recent years, several NOTES studies have been carried out on porcine models and even on humans, including transvaginal cholecystectomy, transgastric appendectomy, transvaginal appendectomy, and transvesical peritoneoscopy. So what is the current situation of NOTES and how many challenges do we still face? This review discusses the current research progress in NOTES.
尽管在过去的二十年中，腹腔镜手术被认为是微创外科领域的一场重大革命，在全球范围内得到了重大发展，但近年来另一场戏剧性的手术革命已经悄然出现。自从 2004 年 Kalloo 首次在猪模型上报告经胃腹膜内镜检查以来，一种名为自然腔道内镜手术（NOTES）的新手术程序在全球范围内引起了广泛关注。考虑到 NOTES 手术理论上可以避免任何腹部切口、与手术相关的疼痛和疤痕，许多外科医生和内镜医生对这项新技术进行了研究。近年来，已经在猪模型甚至人类身上进行了几项 NOTES 研究，包括经阴道胆囊切除术、经胃阑尾切除术、经阴道阑尾切除术和经膀胱腹膜内镜检查。那么，NOTES 的现状如何，我们还面临多少挑战？本文综述了 NOTES 的研究进展。
