NOTES Transanal Colorectal Resection
Series N Age (year) Gender BMI (kg/m2) Tumor location Neoadjuvant CRT Operative technique Veltcamp Helbach et al. [41] 80 66.5 (42–86) M (48), F (32) 27.5 (19.5–40) 5.3 (1–10) cm…
Endoscopic Full-Thickness Resection
Fig. 5.1 Techniques of endoscopic full-thickness resection of GI tract lesions Full-Thickness Resection via Submucosal Tunnel The use of the submucosal space for NOTES procedures was first reported by Gostout et…
Transanal Endoscopic Microsurgery
Fig. 22.1 Treatment algorithm 1. Medically compromised patients who can not undergo a major surgery. 2. Staged: patients who would tolerate a radical total mesorectal excision (TME) operation, but in…
NOTES Transvaginal Appendectomy
Fig. 18.1 Positioning of surgeon and assistant for pure transvaginal appendectomy Operative Approaches Currently, most transvaginal appendectomies are performed using the pure transvaginal technique or the hybrid transvaginal technique with either…
NOTES Pancreatic Pseudocystgastrostomy
Fig. 13.1 CT scan of a large pancreatic pseudocyst. The heterogeneity indicates the likelihood of necrotic debris Fig. 13.2 A large pancreatic pseudocyst seen on coronal CT imaging Ideally, pseudocysts should be…
Transvaginal Tubal Sterilization and Hysterectomy
Fig. 20.1 Positioning for vaginal hysterectomy: both a stirrups supporting the entire leg and b candy cane stirrups are appropriate Essential instruments for VH include weighted specula, retractors, tenacula, scissors, and clamps with special…
NOTES Hernia Repair
Fig. 15.1 Mesh deployed into the abdominal cavity (the photograph shows an earlier prototype of the mesh delivery system) Fig. 15.2 A 20-mm balloon was placed across the gastrotomy to dilate the…
NOTES Transvaginal Sleeve Gastrectomy
Fig. 19.1 Patient positioning along with layout of the operating room The head of the patient’s bed should have a laparoscopic monitor and enough room for a surgeon to perform upper…
Fundamentals of NOTES
Flexible endoscope and light source Therapeutic gastroscope (2 channel) Standard gastroscope Transnasal thin gastroscope Colonoscope, pediatric or adult Linear-array echoendoscope Laparoscopic tower and light source Oblique and straight-viewing laparoscopes CO2…
Flexible Endoscopic Transvaginal Cholecystectomy
Fig. 16.1 Suture retraction of the gallbladder. Note the use of silk suture (black) on the fundus and Ethibond (green) on the infundibulum Fig. 16.2 EndoGrab™ laparoscopic applier (a) and internal retractor…
