ArticleSurgical endoscopy2013
Euro-NOTES Status Paper: from the concept to clinical practice.
Article in Surgical endoscopy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 43 citations in OpenAlex.
- Randomized clinical trial on the use of a colon-occlusion device to assist rectal washout.Surgical endoscopy · 2021Trial
- Endoscopic Management of Appendiceal Stump Lesions via Transcolonic Access: A Safe and Feasible Minimally Invasive Strategy.Journal of gastroenterology and hepatology · 2026Article
- Transcolonic endoscopic appendectomy using a novel integrated snare-knife device: a case report.Endoscopy · 2026Article
- Safety and Efficacy of Transvaginal Natural Orifice Transluminal Endoscopic (vNOTES) Right Colectomy: A Systematic Review.Cancers · 2025Review
- Feasibility of a novel unassisted single-channel transcolonic endoscopic appendectomy for the treatment of appendiceal lesions (with video).Surgical endoscopy · 2024Article
- Transanal hybrid colon resection: techniques and outcomes for benign colorectal diseases.Surgical endoscopy · 2020Article
- Flexible Gastro-intestinal Endoscopy - Clinical Challenges and Technical Achievements.Computational and structural biotechnology journal · 2017Review
- An experimental study in six fresh human cadavers using a novel approach to avoid abdominal wall incisions in total colectomy: totally transanal laparoendoscopic single-site pull-through colectomy with J-pouch creation.Surgical endoscopy · 2016Article
- Novel and safer endoscopic cholecystectomy using only a flexible endoscope via single port.World journal of gastroenterology · 2016Article
- Shifting Paradigms in Minimally Invasive Surgery: Applications of Transanal Natural Orifice Transluminal Endoscopic Surgery in Colorectal Surgery.Clinics in colon and rectal surgery · 2015Review
- Transanal total mesorectal excision: a pure NOTES approach for selected patients.Techniques in coloproctology · 2015Article
- [Natural orifice transluminal endoscopic surgery in Germany: Data from the German NOTES registry].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2015Article
- New trends in colorectal surgery: single port and natural orifice techniques.World journal of gastroenterology · 2014Review
- NOTES total mesorectal excision (TME) for patients with rectal neoplasia: a preliminary experience.Surgical endoscopy · 2014Article
- Transanal natural orifice transluminal endoscopic surgery total mesorectal excision in animal models: endoscopic inferior mesenteric artery dissection made easier by a retroperitoneal approach.Annals of surgical treatment and research · 2014Article
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe concept of natural orifice transluminal endoscopic surgery (NOTES) consists of the reduction of access trauma by using a natural orifice access to the intra-abdominal cavity. This could possibly lead to less postoperative pain, quicker recovery from surgery, fewer postoperative complications, fewer wound infections, and fewer long-term problems such as hernias. The Euro-NOTES Foundation has organized yearly meetings to work on this concept to bring it safely into clinical practice. The aim of this Euro-NOTES status update is to assess the yearly scientific working group reports and provide an overview on the current clinical practice of NOTES procedures.
methodsAfter the Euro-NOTES meeting 2011 in Frankfurt, Germany, an analysis was started regarding the most important topics of the European working groups. All prospectively documented information was gathered from Euro-NOTES and D-NOTES working groups from 2007 to 2011. The top five topics were analyzed.
resultsThe statements of the working group activities demonstrate the growing information and changing insights. The most important selected topics were infection issue, peritoneal access, education and training, platforms and new technology, closure, suture, and anastomosis. The focus on research topics changed over time. The principle of hybrid access has overcome the technical and safety limitations of pure NOTES. Currently the following NOTES access routes are established for several indications: transvaginal access for cholecystectomy, appendectomy and colon resections; transesophageal access for myotomy; transgastric access for full-thickness small-tumor resections; and transanal/transcolonic access for rectal and colon resections.
conclusionsNOTES and hybrid NOTES techniques have emerged for all natural orifices and were introduced into clinical practice with a good safety record. There are different indications for different natural orifices. Each technique has been optimized for the purpose of finding a safe and realistic solution to perform the procedure according to the specific indication.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.