Natural orifice surgery applied for colorectal diseases  

作　　者：Ricardo Zorron 

机构地区：[1]Department of Surgery,University Hospital Teresopolis HCTCO-FESO [2]Department of Surgery,Hospital Municipal Loureno Jorge

出　　处：《World Journal of Gastrointestinal Surgery》2010年第2期35-38,共4页世界胃肠外科杂志（英文版）（电子版）

摘　　要：Clinical natural orifice surgery has been applied to abdominal surgery in recent years,mostly using transvaginal and transgastric access.Rectal and transcolonic natural orifice transluminal endoscopic surgery(NOTES) were tested in animal and cadaver models by a few research groups.Despite the potential advantages of transcolonic NOTES for colorectal diseases,it has not yet been clinically applied.The first successful series of human applications of transcolonic NOTES in the literature from the NOTES Research Group in Brazil provide new possibilities in the field in new transrectal procedures for rectal cancer and benign disease.Successful first human reports on Transcolonic NOTES potentially brings new frontiers and applications for minimally invasive surgery.The treatment of colorectal diseases through flexible Perirectal NOTES Access is a promising new approach alongside existing laparoscopic and open surgery to improve patient care.Clinical natural orifice surgery has been applied to abdominal surgery in recent years, mostly using transvaginal and transgastric access. Rectal and transcolonic natural orifice transluminal endoscopic surgery (NOTES) were tested in animal and cadaver models by a few research groups. Despite the potential advantages of transcolonic NOTES for colorectal diseases, it has not yet been clinically applied. The first successful series of human applications of transcolonic NOTES in the literature from the NOTES Research Group in Brazil provide new possibilities in the field in new transrectal procedures for rectal cancer and benign disease. Successful first human reports on Transcolonic NOTES potentially brings new frontiers and applications for minimally invasive surgery. The treatment of colorectal diseases through flexible Perirectal NOTES Access is a promising new approach alongside existing laparoscopic and open surgery to improve patient care.

关 键 词：Rectal cancer Total mesorectal EXCISION Colorectal SURGERY NATURAL ORIFICE SURGERY NATURAL ORIFICE TRANSLUMINAL endoscopic SURGERY MINIMALLY invasive SURGERY 

分 类 号：R656.9[医药卫生—外科学]