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Natural Orifice Surgery (NOTES)

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Minimally Invasive Approaches to Colon and Rectal Disease

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Abstract

Natural orifice translumenal endoscopic surgery is a new surgical paradigm combining many facets of advanced therapeutic endoscopy and laparoscopic surgery. Much of the groundbreaking work in NOTES surgery is centered on transoral/transgastric approaches. Transanal NOTES, however, has many potential advantages over transoral approaches in selected situations. Surgeons have long since utilized the transanal route to remove sigmoid colon specimens during laparoscopic left colon surgery. Transanal total mesorectal excision has several appealing benefits and is being investigated as the first major transanal NOTES procedure.

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Author information

Authors and Affiliations

  1. Gastrointestinal and Minimally Invasive Surgery Division, The Oregon Clinic, Portland, OR, USA

    Mark H. Whiteford M.D., F.A.C.S., F.A.S.C.R.S.

  2. Providence Cancer Center, 4805 NE Glisan, Suite 6N60, Portland, OR, 97213, USA

    Mark H. Whiteford M.D., F.A.C.S., F.A.S.C.R.S.

  3. Oregon Health & Science University, Portland, OR, USA

    Mark H. Whiteford M.D., F.A.C.S., F.A.S.C.R.S.

Authors
  1. Mark H. Whiteford M.D., F.A.C.S., F.A.S.C.R.S.
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Corresponding author

Correspondence to Mark H. Whiteford M.D., F.A.C.S., F.A.S.C.R.S. .

Editor information

Editors and Affiliations

  1. Division of Colon and Rectal Surgery Department of Surgery, Temple University Health System, Philadelphia, Pennsylvania, USA

    Howard M. Ross MD FACS FASCRS

  2. Division of Colon and Rectal Surgery, Department of Surgery, Weill-Cornell Medical College, New York Presbyterian Hospital, New York, New York, USA

    Sang W. Lee MD, FACS, FASCRS

  3. Department of Surgery, Washington University School of Medicine, St. Louis, Missouri, USA

    Matthew G. Mutch MD, FACS, FASCRS

  4. North Shore-LIJ Health System, Huntington Hospital, Hofstra University School of Medicine, Huntington, New York, USA

    David E. Rivadeneira MD, MBA,FACS, FASCRS

  5. Department of Colon & Rectal Surgery, Madigan Army Medical Center, Olympia, Washington, USA

    Scott R. Steele M.D., FACS, FASCRS

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

Transanal extraction following low anterior resection. Courtesy of Alessio Pigazzi, MD, with permission (MPG 180560 kb)

Transvaginal extraction of rectum and uterus/ovaries following low anterior resection and hysterectomy. Courtesy of Alessio Pigazzi, MD, with permission (WMV 135711 kb)

Transvaginal extraction of right colon specimen with intracorporeal anastomosis. Courtesy of Alessio Pigazzi, MD, with permission (WMV 92624 kb)

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Whiteford, M.H. (2015). Natural Orifice Surgery (NOTES). In: Ross MD FACS FASCRS, H., Lee MD, FACS, FASCRS, S., Mutch MD, FACS, FASCRS, M., Rivadeneira MD, MBA,FACS, FASCRS, D., Steele M.D., FACS, FASCRS, S. (eds) Minimally Invasive Approaches to Colon and Rectal Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1581-1_23

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  • DOI: https://doi.org/10.1007/978-1-4939-1581-1_23

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1580-4

  • Online ISBN: 978-1-4939-1581-1

  • eBook Packages: MedicineMedicine (R0)

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