Natural orifice transluminal endoscopic surgery (N.O.T.E.S.) for neoplasia of the chest and mediastinum.

Details

Serval ID
serval:BIB_D9BF55F4EF3D
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Natural orifice transluminal endoscopic surgery (N.O.T.E.S.) for neoplasia of the chest and mediastinum.
Journal
Surgical Oncology
Author(s)
Perretta S., Allemann P., Dallemagne B., Marescaux J.
ISSN
0960-7404
ISSN-L
0960-7404
Publication state
Published
Issued date
2009
Peer-reviewed
Oui
Volume
18
Number
2
Pages
177-180
Language
english
Notes
Publication types: Journal Article ; Review Publication Status: ppublish
Abstract
Indications for Natural Orifice Transluminal Endoscopic Surgery or NOTES have so far mainly concerned intra-abdominal surgery. The next question to be addressed was whether this access can be extended into other body cavities and, in particular, whether there is a significant role for NOTES above the diaphragm? Using the esophagus, one of the mediastinal organs, as a direct carrier to access the mediastinum and the pleural cavity would eliminate the dissection of the pretracheal fascia required by mediastinoscopy and would give access to the inner part of lung parenchyma. Alternatively, transgastric (or even transvaginal) transhiatal approaches could supplement standard operative techniques in order to minimize abdominal wall ingression. Furthermore, conventional techniques seem disproportionate measures for relatively simple procedures such as evaluating the outcome of chemotherapy and restaging of medically treated mediastinal lesions. As a truly minimal access technique, NOTES could therefore find new indications for intervention. The obvious limiting factor in all of this is assurance of 'leak proof' mural closure. However, if safety of access-site sealing can be established in clinical studies, we could have found an easier, reproducible alternative to the access to mediastinum. This review examines the rationale and evidence for proposing such a venture and deliberates its likely clinical applicability and thereby its potential to become a reality.
Keywords
Endoscopy/methods, Humans, Lung Neoplasms/pathology, Lung Neoplasms/surgery, Lymphatic Metastasis, Mediastinal Neoplasms/secondary, Mediastinal Neoplasms/surgery, Mediastinoscopy/methods, Sentinel Lymph Node Biopsy, Thoracic Neoplasms/surgery
Pubmed
Web of science
Create date
26/01/2016 21:27
Last modification date
20/08/2019 15:59
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