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Verfasst von:Magdeburg, Richard [VerfasserIn]   i
 Kähler, Georg [VerfasserIn]   i
Titel:Natural orifice transluminal endoscopic surgery in humans
Titelzusatz:feasibility and safety of transgastric closure using the OTSC system
Verf.angabe:Richard Magdeburg, Georg Kaehler
Jahr:2016
Jahr des Originals:2015
Umfang:5 S.
Fussnoten:Gesehen am 14.01.2019 ; Published online: 24 March 2015
Titel Quelle:Enthalten in: Surgical endoscopy and other interventional techniques
Ort Quelle:New York : Springer-Verlag, 2002
Jahr Quelle:2016
Band/Heft Quelle:30(2016), 1, Seite 73-77
ISSN Quelle:1432-2218
Abstract:Background: NOTES is a technique in which an operation is performed within the body without a skin incision by using a natural body orifice to provide access. The principal challenge of transgastric NOTES procedures is still the feasibility and safety of access closure. Currently, there are very limited data regarding the closure of transgastric NOTES in humans, and the standard method and device for closure has not been defined. Herein, we evaluate the feasibility and safety of gastric closure after NOTES procedures in humans with the over-the-scope clip (OTSC). Methods: Review of collected data of patients underwent transgastric NOTES in prospective clinical studies between April 2010 and March 2014 focused on the gastric closure with the OTSC. Results: A total of 43 patients underwent transgastric NOTES: 36 patients with an acute appendicitis, six patients with a prophylactic bilateral salpingo-oophorectomy, and one patient with uterus myomatosus. In all 43 cases, the incision of the gastric wall and the endoscopic access to the abdominal cavity succeeded without any difficulty. After performing transgastric procedures, it was possible to close the access by OTSC in all cases. There were all in all three adverse events: one major (Clavien-Dindo Grade III) and two minor (Clavien-Dindo Grades I and II). Conclusion: Even if we could show for the first time in more than 40 consecutive patients that there is a safe approach for closing the transgastric access, it is absolutely necessary that further investigation in clinical settings has to be done to establish clear indications and guidelines for the use of transgastric NOTES.
DOI:doi:10.1007/s00464-015-4163-4
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: http://dx.doi.org/10.1007/s00464-015-4163-4
 Volltext: https://doi.org/10.1007/s00464-015-4163-4
 DOI: https://doi.org/10.1007/s00464-015-4163-4
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Closure
 NOTES
 OTSC
 Transgastric
K10plus-PPN:1586204696
Verknüpfungen:→ Zeitschrift

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