Current Status and Future Perspectives: NOTES - Which Access?

摘要: Current Status and Future Perspectives: NOTES - Which Access? By now the first diagnostic therapeutic interventions using transvaginal or transgastric access have been performed successfully in humans. However, remains an experimental alternative to open conventional laparoscopic surgery thus far. There is no universally applicable for interventions, used depends on individual indication. Each (transgastric, transvesical, transvaginal, transrectal) has specific pros cons. It must be kept mind clinical application that not all findings of animal models were For time being, use should therefore limited controlled studies. In long term a close cooperation between surgeons, gastroenterologists, gynecologists, potentially also urologists will necessary effectually advance this promising approach.