ArticleSurgical endoscopy2011
Clinical experience with a multifunctional, flexible surgery system for endolumenal, single-port, and NOTES procedures.
Article in Surgical endoscopy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- European association for endoscopic surgery (EAES) consensus statement on single-incision endoscopic surgery.Surgical endoscopy · 2019Guideline
- Multicenter Randomized Study of Obesity Treatment with Minimally Invasive Injection of Hyaluronic Acid Versus and Combined with Intragastric Balloon.Obesity surgery · 2015Trial
- Evolution of minimally invasive cholecystectomy: a narrative review.BMC surgery · 2024Review
- Application of robotics in gastrointestinal endoscopy: A review.World journal of gastroenterology · 2016Review
- A state of the art review and categorization of multi-branched instruments for NOTES and SILS.Surgical endoscopy · 2015Review
- The endoscopy evolution: 'the superscope era'.Frontline gastroenterology · 2015Review
- Flexible platforms for natural orifice transluminal and endoluminal surgery.Endoscopy international open · 2014Review
- Gastrojejunostomy by pure natural orifice transluminal endoscopic surgery using a newly designed anastomosing metal stent in a porcine model.Surgical endoscopy · 2014Article
- Transvaginal organ extraction: potential for broad clinical application.Surgical endoscopy · 2014Article
- Transvaginal appendectomy: a systematic review.Minimally invasive surgery · 2014Review
- Natural orifice transluminal endoscopic surgery for intra-abdominal emergency conditions.The British journal of surgery · 2014Review
- Early experience with the Incisionless Operating Platform™ (IOP) for the treatment of obesity : the Primary Obesity Surgery Endolumenal (POSE) procedure.Obesity surgery · 2013Observational
- A novel robotic system for single-port laparoscopic surgery: preliminary experience.Surgical endoscopy · 2013Article
- Transgastric large-organ extraction: the initial human experience.Surgical endoscopy · 2013Article
- Laparoscopic-assisted single-port appendectomy in children: it is a safe and cost-effective alternative to conventional laparoscopic techniques?Minimally invasive surgery · 2013Article
- Deep sedation in natural orifice transluminal endoscopic surgery (NOTES): a comparative study with dogs.Surgical endoscopy · 2012Article
- NOTES, MANOS, SILS and other new laparoendoscopic techniques.World journal of gastrointestinal endoscopy · 2012Article
- Obese women's perception of bariatric trans-vaginal NOTES.Obesity surgery · 2012Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSingle-port and incisionless surgical approaches hold the promise of fewer complications, reduced pain, faster recovery, and improved cosmesis compared with traditional open or laparoscopic approaches. The ability to select an access approach (i.e., endolumenal, single-port, transvaginal, or transgastric) with one platform may be important to optimization of individual patient results. The authors report their results using these four separate surgical approaches tailored to three different therapeutic procedures, all with the use of a single flexible platform, the Incisionless Operating Platform (IOP).
methodsAfter institutional review board approval, the IOP was used to perform nine cholecystectomies via transvaginal (TV) (n=4), transgastric (TG) (n=4), and single-port transumbilical (TU) (n=1) access. Two appendectomies were performed via TG access. Endolumenal access was used for 18 gastric pouch and stoma reductions after Roux-en-Y gastric bypass. The TG and TV procedures involved the use of one to three trocars. The recorded data included safety, procedural success, operative time, patient pain assessment (on a 0-10 scale) at discharge, and length of hospital stay.
resultsProcedural success was achieved for 16 of 18 endolumenal procedures, 1 of 1 single-port procedure, and 10 of 10 NOTES procedures. For 5 of 10 NOTES procedures, only one small trocar was required. The mean operative times were 79 min for pouch with stoma reduction, 171 min for cholecystectomy, and 274 min for appendectomy. Of 29 patients, 27 were discharged in 24 h or less. The average pain scores were 0.44 for pouch with stoma reduction, 1.3 for cholecystectomy, and 2.5 for appendectomy. No significant complications occurred. The ergonomics of IOP allowed the surgeon to interface with the system using an endoscopic or laparoscopic orientation.
conclusionAvailability of a multifunctional, flexible surgery platform provides a choice of a single-port or incisionless surgical approach with the potential to reduce complications, pain, and recovery time while improving cosmesis.
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