Nephrectomy and natural orifice translumenal endosurgery (NOTES): Transvaginal, transgastric, transrectal, and transvesical approaches

被引:56
作者
Swain, Paul [1 ]
机构
[1] Univ London, Univ London Imperial Coll Sci Technol & Med, Dept Surg Oncol & Technol, London, England
关键词
D O I
10.1089/end.2007.9831
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
This paper outlines recent developments in the field of natural orifice translumenal endosurgery (NOTES) in urology and nephrectomy from the perspective of a flexible endoscopist. The history of transvaginal extraction of kidney specimens using rigid laparoscopic instruments and early studies of transvaginal nephrectomy as a precursor of NOTES are reviewed. Transgastric approaches to nephrectomy using flexible instruments and transvesical hybrid approaches to nephrectomy and other intra-abdominal procedures including cholecystectomy and transvesical lung biopsy are outlined, as are other experimental approaches including transrectal kidney removal. The paper reviews the rationale for a NOTES approach to abdominal surgery and discusses recent human studies. The limitations of NOTES and need for better instrumentation and more studies are stressed.
引用
收藏
页码:811 / 817
页数:7
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