Natural Orifice Transluminal Endoscopic Surgery (NOTES) – current status and our own experience

Česká verzia

Authors: O. Ryska ¹; J. Martínek ²; R. Doležel ³; T. Filipková ⁴; Š. Juhás ⁵; J. Juhásová ⁵; M. Zavoral ²; M. Ryska ³
Authors place of work: Chirurgická klinika, FN Na Bulovce, Praha ¹; Interní klinika 1. LF UK a ÚVN Praha ²; Chirurgická klinika 2. LF UK a ÚVN Praha ³; Chirurgické oddělení, Domažlická nemocnice, a. s. ⁴; Ústav živočišné fyziologie a genetiky, AV ČR, Liběchov ⁵
Published in the journal: Gastroent Hepatol 2011; 65(5): 264-271
Category: Clinical and Experimental Gastroenterology: Review Article

Summary

The potential benefits of NOTES (Natural Orifice Transluminal Endoscopic Surgery) technique are today being evaluated by many experimental and clinical studies. Most of the NOTES procedures in humans are performed as a hybrid approach with laparoscopic assistance (cholecystectomy, appendectomy). Transvaginal or transgastric accesses are used most often, but a safe closure of the latter has not yet been discovered. Considering the published low postoperative infections rate, perioperative intraabdominal contamination does not appear to be such an important issue. There was no higher incidence of perioperative complications in transvaginal procedures. On the other hand, the risk of esophageal injury in transgastric cholecystectomy is relatively high. Many different closure techniques were invented and evaluated in experimental trials, e.g. clips, sewing or stapling systems, loop occlusion techniques, as well as new prototypes of multitasking platforms, which were confirmed as superior to conventional endoscopes. The authors performed several experimental studies on NOTES in the years 2009–2011. In comparison with transgastric ovarectomy and hybrid transrectal cholecystectomy with the laparoscopic approach, there was no significant difference in mortality, the postoperative complications rate or the systemic inflammatory response. The novel loop-and-clip technique (“King’s closure”) was invented and proved as a safe and feasible method in gastrotomy and colotomy closure. In conclusion, the recent results of NOTES trials have not confirmed the benefit of this technique in comparison with laparoscopy. However, NOTES has led to a remarkable development of endoscopic equipment and accessories.

Key words:
NOTES – endoscopy – minimal invasive surgery

Zdroje

1. Teoh AYB, Chiu PWY, Ng EKW. Current developments in natural orifices transluminal endoscopic surgery: An evidence-based review. World J Gastroenterol 2010;16(38): 4792–4799.

2. Rattner D, Kalloo A; ASGE/SAGES Working Group. ASGE/SAGES Working Group on Natural Orifice Translumenal Endoscopic Surgery. Surg Endosc 2006; 20(2): 329–333.

3. Nau P, Ellison EC, Muscarella P et al. A review of 130 humans enrolled in transgastric NOTES protocols at a single institution. Surg Endosc 2011; 25(4): 1004–1011.

4. Zorron R, Palanivelu C, Galvao Neto MP et al. International multicenter trial on clinical natural orifice surgery – NOTES IMTN study: preliminary results of 362 patients. Surg Innov 2010; 17(2): 142–158.

5. Lehmann KR, Ritz JP, Wibmer A et al. The German registry for natural orifice translumenal endoscopic surgery: report of first 551 patients. Ann Surg 2010; 252(2): 263–270.

6. Lacy AM, Delgado S, Rojas OA et al. MA-NOS radical sigmoidectomy: report of a transvaginal resection in the human. Surg Endosc 2008; 22(7): 1717–1723.

7. Ramos AC, Zundel N, Neto MG et al. Human hybrid NOTES transvaginal sleeve gastrectomy: initial experience. Surg Obes Relat Dis 2008; 4(5): 660–663.

8. Zorrón R, Soldan M, Filgueiras M et al. NOTES: transvaginal for cancer diagnostic staging: preliminary clinical application. Surg Innov 2008; 15(3): 161–165.

9. Zornig C, Mofid H, Siemssen L et al. Transvaginal NOTES hybrid cholecystectomy: feasibility results in 68 cases with mid-term follow-up. Endoscopy 2009; 41(5): 391–394.

10. Bueno B. Primer Caso de Apendicectomia Por Via Vaginal. Tokoginecol Pract 1949; 8(72): 152–158.

11. Gordts S, Waterlot A, Campo R et al. Risk and outcome of bowel injury during transvaginal pelvic endoscopy. Fertil Steril 2001; 76(6): 1238–1241.

12. Salinas G, Saavedra L, Agurto H et al. Early experience in human hybrid transgastric and transvaginal endoscopic cholecystectomy. Surg Endosc 2010; 24(5): 1092–1098.

13. Sotelo R, de Andrade R, Fernández G et al. NOTES hybrid transvaginal radical nephrectomy for tumor: stepwise progression toward a first successful clinical case. Eur Urol 2010; 57(1): 138–144.

14. Auyang ED, Hugness ES, Vaziri K et al. Human NOTES Cholecystectomy: transgastric hybrid technique. J Gastrointest Surg 2009; 13(6): 1149–1150.

15. Park PO, Bergström M. Transgastric peritoneoscopy and appendectomy: thoughts on our fisrt experience in humans. Endoscopy 2010; 42(1): 81–84.

16. Asakuma M, Peretta S, Allemann P et al. Challanges and lessons learned from NOTES cholecystectomy initial experience: a stepwise approach from the laboratory to clinical application. J Hepatobiliary Pancreat Surg 2009; 16(3): 249–254.

17. Miller RE, Castlemain BN, Lacqua FJ et al. Percutaneous endoscopic gastrostomy. Surg Endosc 1989; 3(4): 186–190.

18. Nau P, Anderson J, Happel L et al. Safe alternative transgastric peritoneal access in Humans: NOTES. Surgery 2011; 149(1): 147–152.

19. Inoue H, Minami H, Kobayashi Y et al. Peroral endoscopic myotomy (POEM) for esophageal achalasia. Endoscopy 2010: 42(4): 265–271.

20. Sylla P, Rattner DW, Delgado S et al. NOTES transanal rectal cancer resection using transanal endoscopic microsurgery and laparoscopic assistance. Surg Endosc 2010; 24(5): 1205–1210.

21. Santos BF, Hungness ES. Natural orifice transluminal endoscopic surgery: progress in humans since white paper. World J Gastroenterol 2011; 17(13): 1655–1665.

22. Horgan S, Cullen JP, Talamini MA et al. Natural orifice surgery: initial clinical experience. Surg Endosc 2009; 23(7): 1512–1518.

23. A prospective analysis of 1518 laparoscopic cholecystectomies. The Southern Surgeons Club. N Engl J Med 1991; 324(16): 1073–1078.

24. Narula VK, Happel LC, Volt K et al. Transgastric endoscopic pritoneoscopy does not require decontamination of the stomach in humans. Surg Endosc 2009; 23(6): 1331–1336.

25. Santos BF, Auyang ED, Hungness ES et al. Preoperative ultrasound measurement predict the feasibility of gallbladder extraction during transgastric natural orifice transluminal endoscopic surgery cholecystectomy. Surg Endosc 2011; 25(4): 1168–1175.

26. Wagh MS, Merrifield BF, Thompson CC. Endoscopic transgastric abdominal exploration and organ resection: initial experience in a porcine model. Clin Gastroenterol Hepatol 2005; 3(9): 892–896.

27. Merrifield BF, Wagh MS, Thompson CC. Peroral transgastric organ resection: a feasibility study in pigs. Gastrointest Endosc 2006; 63(4): 693–697.

28. Fong DG, Ryou M, Pai RD et al. Transcolonic ventral wall hernia mesh fixation in a porcine model. Endoscopy 2007; 39(10): 865–869.

29. Kantsevoy SV, Hu B, Jagannath SB et al. Transgastric endoscopic splenectomy: is it possible? Surg Endosc 2006; 20(3): 522–525.

30. Voermans RP, Sheppard B, van Berge Henegouwen MI et al. Comparison of Transgastric NOTES and laparoscopic peritoneoscopy for detection of peritoneal metastases. Ann Surg 2009; 250(2): 255–259.

31. Kalloo AN, Singh VK, Jagannath SB et al. Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity. Gastrointest Endosc 2004; 60(1): 114–117.

32. Kirschniak A, Kratt T, Stüker D et al. A new endoscopic over-the-scope clip system for treatment of lesions and bleeding in the GI tract: first clinical experiences. Gastrointest Endosc 2007; 66(1): 162–167.

33. Schurr MO, Hartmann C, Ho CN et al. An over-the-scope clip (OTSC) system for closure of iatrogenic colon perforations: results of an experimental survival study in pigs. Endoscopy 2008; 40(7): 584–588.

34. Hookey LC, Khokhotva V, Bielawska B et al. The Queen‘s closure: a novel technique for closure of endoscopic gastrotomy for natural-orifice transluminal endoscopic surgery. Endoscopy 2009; 41(2): 149–153.

35. Hucl T, Benes M, Kocik M et al. A novel double-endoloop technique for natural orifice transluminal endoscopic surgery gastric access site closure. Gastrointest Endosc 2010; 71(4): 806–811.

36. Ryska O, Martinek J, Dolezel R et al. Feasibility of a novel single loop-and-clip gastrotomy closure (‘King’s closure’) after NOTES procedures in an experimental study. Gastroent Hepatol 2011; 65(4): 126–132.

37. Dray X, Gabrielson KL, Buscaglia JM et al. Air and fluid leak tests after NOTES procedures: a pilot study in a live porcine model (with videos). Gastrointest Endosc 2008; 68(3): 513–519.

38. Chiu PW, Lau JY, Ng EK et al. Closure of a gastrotomy after transgastric tubal ligation by using the Eagle Claw VII: a survival experiment in a porcine model (with video). Gastrointest Endosc 2008; 68(3): 554–559.

39. Sumiyama K, Gostout CJ, Rajan E et al. Submucosal endoscopy with mucosal flap safety valve. Gastrointest Endosc 2007; 65(4): 688–694.

40. Pham BV, Raju GS, Ahmed I et al. Immediate endoscopic closure of colon perforation by using a prototype endoscopic suturing device: feasibility and outcome in a porcine model. Gastrointest Endosc 2006; 64(1): 113–119.

41. Voermans RP, Vergouwe F, Breedveld P et al. Comparison of endoscopic closure modalities for standardized colonic perforations in a porcine colon model. Endoscopy 2011; 43(3): 217–222.

42. Magno P, Giday SA, Dray X et al. A new stapler-based full-thickness transgastric access closure: results from an animal pilot trial. Endoscopy 2007; 39(10): 876–880.

43. Spaun GO, Zheng B, Swanström LL. A multitasking platform for natural orifice translumenal endoscopic surgery (NOTES): a benchtop comparison of a new device for flexible endoscopic surgery and a standard dual-channel endoscope. Surg Endosc 2009; Epub ahead of print.

44. Spaun GO, Zheng B, Martinec DV et al. Bimanual coordination in natural orifice transluminal endoscopic surgery: comparing the conventional dual-channel endoscope, the R-Scope, and a novel direct drive system. Gastrointest Endosc 2009; 69(6): e39–e45.

45. Thompson CC, Ryou M, Soper NJ et al. Evaluation of a manually driven, multitasking platform for complex endoluminal and natural orifice transluminal endoscopic surgery applications (with video). Gastrointest Endosc 2009; 70(1): 121–125.

46. Meining A, Feussner H, Swain P et al. Natural-orifice transluminal endoscopic surgery (NOTES) in Europe: summary of the working group reports of the Euro-NOTES meeting 2010. Endoscopy 2010; 43(2): 140–143.

47. Wilhelm D, Meining A, von Delius S et al. An innovative, safe and sterile sigmoid access (ISSA) for NOTES. Endoscopy 2007; 39(5): 401–406.

48. Sylla P. Current experience and future directions of completely NOTES colorectal resection. World J Gastrointest Surg 2010; 2(6): 193–198.

49. Bergman S, Melvin WS. Natural orifice transluminal endoscopic surgery. Surg Clin North Am 2008; 88(5): 1131–1148.

50. Tomikawa M, Xu H, Hashizume M. Current status and prerequisites for natural orifice transluminal endoscopic surgery (NOTES). Surg Today 2010; 40(10): 909–916.