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首页> 外文期刊>Surgical Endoscopy >Developing essential tools to enable transgastric surgery.
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Developing essential tools to enable transgastric surgery.

机译：开发必要的工具以实现经胃手术。

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摘要

Natural orifice transluminal endoscopic surgery (NOTES) is a largely theoretical but potentially exciting evolution of minimally invasive surgical care. Using technology borrowed from current diagnostic and therapeutic flexible endoscopy, the idea is to replicate current laparoscopic procedures in an "incisionless" manner. It is widely recognized that for NOTES to become a practical reality, many issues need to be resolved, both methodologic and political. One critical element of development will be the design of appropriate instrumentation for NOTES. This is currently happening and involves a complex collaboration between industry and clinicians both to adapt current equipment and to design and create new tools to enable the performance of transluminal procedures. This article describes the current process of such technology development as well as the resulting instrumentation that enables the performance of NOTES. The issues of access and platform stability, laparoscopic-like instruments, and secure tissue approximation are described, and the devices to solve these issues are detailed.
机译：天然小孔腔内镜手术（NOTES）是一种理论上可行的但微创手术治疗令人兴奋的发展。使用从当前的诊断和治疗性柔性内窥镜中借用的技术，该想法是以“无切口”方式复制当前的腹腔镜手术。众所周知，要使NOTES成为现实，就需要解决很多方法和政治问题。开发的一个关键要素将是为NOTES设计适当的仪器。目前正在发生这种情况，涉及行业和临床医生之间的复杂合作，既要适应当前设备，又要设计和创建新工具以执行腔内手术。本文介绍了此类技术开发的当前过程以及由此产生的可实现NOTES性能的工具。描述了访问和平台稳定性，腹腔镜式器械和安全的组织近似问题，并详细介绍了解决这些问题的设备。

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