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Transgastric versus transrectal: Which access route is the best for NOTES gallbladder-preserving gallstone therapy?
J Dig Dis
September 2023
Department of Gastroenterology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, China.
Objectives: To compare the effectiveness and safety of transgastric and transrectal pure natural orifice transluminal endoscopic surgery (NOTES) for cholecystolithotomy.
Methods: This was a single-center retrospective comparative study of consecutive patients who underwent pure NOTES for either transrectal or transgastric gallbladder-preserving cholecystolithotomy between September 2017 and April 2020. Patients with symptomatic cholelithiasis were assigned for transrectal or transgastric NOTES based on the patients' choice.
Snare-assisted flexible endoscope in trans-gastric endoscopic gallbladder-preserving surgery: A pilot animal study.
World J Gastroenterol
May 2022
Department of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei Province, China.
Background: Natural orifice transluminal endoscopic surgery (NOTES) gallbladder-preserving surgery by flexible endoscopy is an emerging technology. However, the gallbladder fails to obtain traction and positioning functions during the operation.
Aim: To evaluate the feasibility and safety of a new surgical method, "snare-assisted pure NOTES gallbladder-preserving surgery".
Trans-gastric inguinal hernia repair using pure natural orifice transluminal endoscopic surgery.
Asian J Surg
March 2021
Department of Gastroenterology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. Electronic address:
Hybrid transgastric approach for the treatment of gastroesophageal junction pathologies.
Dis Esophagus
February 2019
IHU-Strasbourg, Institute of Image-Guided Surgery, Strasbourg, France.
Article Synopsis
- Flexible endoscopy has advanced to perform complex procedures that previously required open surgery, but technical challenges remain such as imaging difficulties and limited tools.
- There is a proposed method to enhance transgastric laparoscopy using new endoscopic ports to carry out procedures in hard-to-reach areas, like antireflux surgery in the stomach.
- A study involving five pigs demonstrated the feasibility of this technique, showing promising results with measurements taken to assess the gastroesophageal junction before and after surgery, although the animals were euthanized post-operation.
Transgastric submucosal excision of small- to medium-sized gastrointestinal stromal tumours by pure minimally invasive approach.
J Minim Access Surg
January 2018
Department of General Surgery, Sriram Chandra Bhanj Medical College and Hospital, Cuttack, Odisha, India.
Aim: The aim of this study is to evaluate the results of a single and common approach for transgastric submucosal excision of small- to medium-sized gastrointestinal stromal tumours (GIST) having different locations in upper two-third of the stomach by pure minimally invasive approach.
Materials And Methods: A retrospective study from February 2012 to January 2015 on 11 patients was conducted including both male and female. Their age ranged from 40 to 65 years.
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