Gastrointestinal tract access for urological natural orifice transluminal endoscopic surgery
Gastrointestinal tract access for urological natural orifice transluminal endoscopic surgery作者机构：Department of UrologyUC San Diego School of Medicine
出 版 物：《World Journal of Gastrointestinal Endoscopy》 (世界胃肠内镜杂志（英文版）（电子版）)
年 卷 期：2016年第8卷第19期
页 面：684-689页
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题：Gastrointestinal tract Transrectal Urology Natural orifice transluminal endoscopic surgery
摘 要：We conducted a literature review of natural orifice transluminal endoscopic surgery(NOTES),focusing on urologic procedures with gastrointestinal tract access,to update on the development of this novel surgical *** part of the methods,a comprehensive electronic literature search for NOTES was conducted using Pub Med and Cochrane Library from March 2002 to February 2016 for papers reporting urologic procedures performed utilizing gastrointestinal tract access.A total of 11 peer-reviewed studies examining utility of gastrointestinal access for NOTES urologic procedures were noted,with the first report in *** procedures reported in the studies were total/radical nephrectomy,partial nephrectomy,adrenalectomy,and *** transgastric approach was identified in five studies examining total/radical nephrectomy(n = 2),partial nephrectomy(n = 1),partial cystectomy(n = 1),and adrenalectomy(n = 1).Six studies evaluated transrectal approach for NOTES,describing total/radical nephrectomy(n = 3),partial nephrectomy(n = 1),robotic nephrectomy with adrenalectomy(n = 1) and prostatectomy(n = 1).Feasibility was reported in all *** studies were preclinical and acute,and limited by concerns regarding restricted instrumentation and infection *** concluded that gastrointestinal access for urologic NOTES demonstrates promise as described by outlined feasibility studies in preclinical ***,clinical application awaits further advancements in surgical technology and concerns regarding infectious potential.
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