viernes, 20 de enero de 2012

Cirugía endoscópica a través de orificios naturales


Cirugía endoscópica a través de orificios naturales (NOTES): implicaciones anestésicas
Natural orifice transluminal endoscopic surgery (NOTES): implications for anesthesia.
Schaefer M.
Department of Anesthesiology and Intensive Care Medicine, Charité University Berlin Campus Virchow Klinikum, Augustenburgerplatz 1, 13353 Berlin Germany.
F1000 Med Rep. 2009 Oct 29;1. pii: 80.
Abstract
Natural orifice transluminal endoscopic surgery (NOTES) has recently evolved as a novel approach for abdominal surgery with great potential to further improve the advantages of laparoscopy over laparotomy. The first patients undergoing NOTES cholecystectomy or appendectomy reported no or only minimal pain, required no narcotic analgesics, and were discharged early from the hospital and immediately resumed daily activities. If this is confirmed by randomized controlled clinical trials, what are the potential implications for anesthesia?
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2948333/pdf/1757-5931-0001-0000000080.pdf  
Cirugía endoscópica a través de orificios naturales (NOTES)
Natural orifice transluminal endoscopic surgery (NOTES).
Varas Lorenzo MJ, Espinós Pérez JC, Bardají Bofill M.
Units of Echoendoscopy, Endoscopy Surgery, Centro Médico Teknon, Barcelona, Spain. varas@dr.teknon.es
Rev Esp Enferm Dig. 2009 Apr;101(4):275-82.
Abstract
A current review and update of an exceedingly novel and appealing topic, namely natural orifice transluminal endoscopic surgery (NOTES), is discussed, as well as the authors viewpoint thereon. Most reviewed studies were performed in laboratory animals, but reports on transvaginal cholecystectomy and the emergence of editorials and review articles on this topic pose a number of as yet unanswered questions on this type of surgery, which represents a potential advance towards "endoscopic surgery with no scars, no infection, minimal anesthesia requirements, and immediate recovery".
http://www.grupoaran.com/mrmUpdate/lecturaPDFfromXML.asp?IdArt=461377&TO=RVN&Eng=1
 
Cirugía úrológica endoscópica a través de orificios naturales: revisión de la literatura mundial.
Natural orifice transluminal endoscopic surgery in urology: Review of the world literature.
Bazzi WM, Raheem OA, Cohen SA, Derweesh IH.
Urol Ann 2012;4:1-5
Natural orifice transluminal endoscopic surgery (NOTES) has gained momentum in the recent urologic literature as a new surgical approach for intra-abdominal organs with scarless and painless postoperative recoveries. We sought to review the published literature concerning the safety and reproducibility of NOTES in urology. PubMed literature review of articles published in the English language was performed over a 10-year period, i.e., between 2001 and 2011; all articles were critically reviewed and analyzed. Despite its novelty, pure or hybrid surgical approaches have been adapted in performing NOTES. NOTES essentially utilizes transluminal flexible endoscopic instruments along with laparoscopic instruments to gain access to abdominal, pelvic, and/or retroperitoneal cavities. The preliminary results of NOTES in surgery and to a limited extent in urology appear promising, yet further research in animal survival and human cadaveric models is requisite prior to human applications, especially for complex surgeries. Future innovative research, particularly biomedical engineering, should be directed to improving the technicality and mechanistic application of NOTES; hence, better safety and efficacy of NOTES.
Keywords: Natural orifice transluminal endoscopic surgery, urology, world literature
http://www.urologyannals.com/article.asp?issn=0974-7796;year=2012;volume=4;issue=1;spage=1;epage=5;aulast=Bazzi
 
Atentamente
Anestesiología y Medicina del Dolor

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