VZL 2009, 78(3):90-92

NOTES (Natural Orrifice Transluminal Endoscopic Surgery) - the Latest Trend in Miniinvasive Surgery

Tomáš Dušek ORCID...1,2, Leo Klein ORCID...2, Alexander Ferko3, Otakar Sotona3, Vladimír Špaček3
1 Nemocniční základna Armády České republiky
2 Univerzita obrany, Fakulta vojenského zdravotnictví, katedra válečné chirurgie, Hradec Králové
3 Chirurgická klinika Lékařské fakulty UK v Hradci Králové a Fakultní nemocnice Hradec Králové

Až dosud znamenaly klasické přístupy do dutiny břišní určité nemalé operační trauma a morbiditu (laparotomie) nebo omezení přístupu a dosahu (laparoskopické a endoskopické techniky). Moderní metoda NOTES využívá intraluminálního přístupu přirozenými tělesnými otvory s cílem nepříznivé důsledky minimalizovat. Dosud se převážně pohybuje v rovině experimentální chirurgie, avšak její zavedení do širší praxe při dokonalém technickém vybavení a kvalitním výcviku chirurgů je možno v budoucnosti očekávat.

Keywords: NOTES; Přirozené tělesné otvory; Miniinvazivní chirurgie; Redukce operačního traumatu

Until today, classical methods of approach to the abdominal cavity have been connected with some, not particularly small, operational trauma and morbidity (laparotomy) or with some limitations of the approach and access (laparoscopy, endoscopy). A new modern method NOTES offers an intraluminal approach through the natural orrifice in order to minimize disadvantages of the previous methods. Although NOTES has been predominantly used in an experimental surgery, we may expect its expansion in clinical practice depending on the development of a new technology, and the specialised training of surgeons in the future.

Keywords: NOTES; Natural orrifice; Miniinvasive surgery; Reduction of operational trauma

Received: June 3, 2009; Published: September 1, 2009  Show citation

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Dušek, T., Klein, L., Ferko, A., Sotona, O., & Špaček, V. (2009). NOTES (Natural Orrifice Transluminal Endoscopic Surgery) - the Latest Trend in Miniinvasive Surgery. Vojenské Zdravotnické Listy, 78(3), 90-92
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