Olweny Ephrem O, Best Sara L, Tracy Chad R, Cadeddu Jeffrey A
Department of Urology, University of Texas Southwestern Medical Center, Dallas, Texas 75390-9110, USA.
Arch Esp Urol. 2012 Apr;65(3):434-43.
Rapid technological developments in the 1970's contributed to the emergence of operative laparoscopy as a revolution in surgery. In recent years, there has been a surge of interest in laparoendoscopic single-site (LESS) and natural orifice translumenal endoscopic surgery (NOTES), novel techniques that have the potential to further minimize the invasiveness and morbidity of surgery. Innovations in instrument design and in novel surgical platforms including robotic technology have rapidly been developed in an effort to enhance the future clinical applicability of these techniques. In this chapter, we review the current status and future directions of LESS and NOTES technology, focusing on the current research in the field.
20世纪70年代的快速技术发展促使手术腹腔镜检查作为一场外科革命应运而生。近年来，人们对经自然腔道内镜手术（NOTES）和单孔腹腔镜手术（LESS）兴趣激增，这些新技术有可能进一步降低手术的侵入性和发病率。为了提高这些技术未来的临床适用性，仪器设计和包括机器人技术在内的新型手术平台方面的创新迅速发展。在本章中，我们回顾了LESS和NOTES技术的现状及未来发展方向，重点关注该领域的当前研究。
