Journal article

"No scar" small bowel resection in a survival porcine model using transcolonic NOTESA (R) and transabdominal approach

Elena Dubcenco, Teodor Grantcharov, Frank CS Eng, Catherine J Streutker, Nancy N Baxter, Ori D Rotstein, Jeffrey P Baker

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | SPRINGER | Published : 2011

Abstract

BACKGROUND: Fundamental techniques and essential tools for performing "no scar" surgery still need to be developed. Our study was designed to evaluate the feasibility of performing small bowel resection by transcolonic NOTES(®) and transabdominal approach using rigid laparoscopic and flexible endoscopic instruments. METHODS: One non survival and four survival experiments were performed using a porcine model. The endoscope with an overtube was advanced into the peritoneal cavity through the colotomy. Mini-laparoscopic instruments were placed through the abdominal wall under the endoscopic observation. The endoscope was replaced with a rigid linear stapler. The small bowel was identified. The ..

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