Transvaginal Natural Orifice Transluminal Endoscopic Surgery (Notes): Surgical Technique and Results

Natural orifice transluminal endoscopic surgery (NOTES) is a surgical technique to perform “scarless” abdominal operations. Robotic technology has been exploited to improve NOTES and circumvent its limitations. Lack of a multitasking platform is a major limitation. Manual tool exchange can be time consuming and may lead to complications such as bleeding. Previous multifunctional manipulator designs use electric motors. These designs are bulky, slow, and expensive. This paper presents design, prototyping, and testing of a hydraulic robotic tool changing manipulator. The manipulator is small, fast, low-cost, and capable of carrying four different types of laparoscopic instruments.

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Natural orifice transluminal endoscopic surgery (NOTES) salpingectomy for ectopic pregnancy: a first series demonstrating how a new surgical technique can be applied in a low-resource setting

Gynecological Surgery ◽

10.1007/s10397-015-0904-6 ◽

2015 ◽

Vol 12 (4) ◽

pp. 299-302 ◽

Cited By ~ 8

Author(s):

Van Peer Sarah ◽

Baekelandt Jan

Keyword(s):

Surgical Technique ◽

Ectopic Pregnancy ◽

Endoscopic Surgery ◽

Natural Orifice ◽

Low Resource ◽

Resource Setting ◽

Low Resource Setting ◽

New Surgical Technique

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Modular Assembly Micro-Robots for Natural Orifice Transluminal Endoscopic Surgery

Robotics ◽

10.4018/978-1-4666-4607-0.ch078 ◽

2013 ◽

pp. 1600-1612

Author(s):

Apollon Zygomalas ◽

Kostas Giokas ◽

Dimitris Koutsouris

Keyword(s):

Surgical Technique ◽

Endoscopic Surgery ◽

Abdominal Cavity ◽

Minimally Invasive Techniques ◽

Natural Orifice ◽

Modular Assembly ◽

Invasive Techniques ◽

Miniature Robot ◽

Surgical Operations ◽

Natural Orifices

Surgical operations are progressively being performed using minimally invasive techniques. Natural Orifice Transluminal Endoscopic Surgery (NOTES) is a novel surgical technique that uses the natural orifices of the human body in order to approach the peritoneal cavity. There are two basic types of robotics for NOTES; the external robots that stay outside the patient but act inside the abdominal cavity, and the internal robots that stay and act in the abdomen. The internal robots could only be mini-robots. The development of modular assembling reconfigurable micro-robots is a revolutionary idea for the NOTES. Modular micro-robots consist of small subunits which could be assembled and construct a functional miniature robot. These surgical micro-robots may increase the possibility for true scarless tele-surgery. Although specific applications of intrabdominal surgical micro-robots are still in an early concept stage, the field is rapidly evolving. In the future, patients may be operated by specialized micro-robotic intrabdominal surgeons.

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Transcolonic endoscopic appendectomy: a novel natural orifice transluminal endoscopic surgery (NOTES) technique for the sessile serrated lesions involving the appendiceal orifice

Gut ◽

10.1136/gutjnl-2020-323018 ◽

2021 ◽

pp. gutjnl-2020-323018

Author(s):

Tao Chen ◽

Aiping Xu ◽

Jingjing Lian ◽

Yuan Chu ◽

Haibin Zhang ◽

...

Keyword(s):

Endoscopic Surgery ◽

Natural Orifice ◽

Serrated Lesions

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Development of a novel deployable arm for natural orifice transluminal endoscopic surgery(NOTES)

International Journal of Medical Robotics and Computer Assisted Surgery ◽

10.1002/rcs.2232 ◽

2021 ◽

Author(s):

Yanqiang Lei ◽

Yibin Li ◽

Rui Song ◽

Fuxin Du

Keyword(s):

Endoscopic Surgery ◽

Natural Orifice

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Natural Orifice Translumenal Endoscopic Surgery for Anterior Spinal Procedures

Minimally Invasive Surgery ◽

10.1155/2012/365814 ◽

2012 ◽

Vol 2012 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Priscilla Magno ◽

Mouen A. Khashab ◽

Manuel Mas ◽

Samuel A. Giday ◽

Jonathan M. Buscaglia ◽

...

Keyword(s):

Thoracic Spine ◽

Endoscopic Surgery ◽

Vertebral Column ◽

Bone Biopsy ◽

Posterior Mediastinum ◽

Direct Access ◽

Thoracic Vertebrae ◽

Natural Orifice ◽

Vertebral Bone ◽

Vertebral Bodies

Background. NOTES techniques allow transesophageal access to the mediastinum. The aim of this study was to assess the feasibility of transesophageal biopsy of thoracic vertebrae.Methods. Nonsurvival experiments on four 50-kg porcine animals were performed. Transesophageal access to the mediastinum was attained using submucosal tunneling technique.Results. The posterior mediastinum was successfully accessed and navigated in all animals. Vertebral bodies and intervertebral spaces were easily approached while avoiding damage to adjacent vessels. Bone biopsy was successfully performed without complications, but the hardness of bone tissue resulted in small and fragmented samples.Conclusions. Peroral transesophageal access into the posterior mediastinum and thoracic vertebral bone biopsy was feasible and safe. The proximity of the esophagus to the vertebral column provides close and direct access to the thoracic spine and opens up new ground for the performance of multilevel anterior spine procedures using NOTES techniques.

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