International Multicenter Trial on Clinical Natural Orifice Surgery—NOTES IMTN Study: Preliminary Results of 362 Patients
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- Ricardo Zorron
- University Hospital Teresopolis HCTCO-FESO, Rio de Janeiro, Brazil,
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- Chinnusamy Palanivelu
- GEM Hospital and Postgraduate Institute, Coimbatore, India
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- Manoel Passos Galvão Neto
- Hospital Santa Rita, São Paulo, Brazil
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- Almino Ramos
- Hospital Santa Rita, São Paulo, Brazil
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- Gustavo Salinas
- Clínica de Día Avendaño, Lima, Peru
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- Jens Burghardt
- Sana Clinical Center Berlin, Berlin, Germany
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- Luis DeCarli
- Hospital Irmandade Santa Casa da Misericordia, Porto Alegre, Brazil
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- Luiz Henrique Sousa
- SOUSAGROUP Hospital Femina, Goiania, Brazil
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- Antonello Forgione
- Niguarda Ca' Granda Hospital, Milan, Italy, AIMS — Advanced International Mini-invasive Surgery Academy, Milan, Italy
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- Raffaele Pugliese
- Niguarda Ca' Granda Hospital, Milan, Italy, AIMS — Advanced International Mini-invasive Surgery Academy, Milan, Italy
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- Alcides J Branco
- Cruz Vermelha Hospital Curitiba, Parana, Brazil
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- T.S. Balashanmugan
- PSG Hospital, Coimbatore, India
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- Camilo Boza
- Pontificia Universidad Católica del Chile, Santiago, Chile
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- Francesco Corcione
- Hospital UOC General and Laparoscopic Surgery, Naples, Italy
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- Fausto D'Ávila Avila
- Hospital Poza Rica, Poza Rica, Mexico
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- Néstor Arturo Gómez
- Universidad de Guayaquil, Guayaquil, Ecuador
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- Paulo Ayrosa Galvão Ribeiro
- Hospital Santa Rita, São Paulo, Brazil
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- Susana Martins
- Foster City, CA, USA
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- Marcos Filgueiras
- University Hospital Teresopolis HCTCO-FESO, Rio de Janeiro, Brazil
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- Klaus Gellert
- Sana Clinical Center Berlin, Berlin, Germany
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- Anibal Wood Branco
- Cruz Vermelha Hospital Curitiba, Parana, Brazil
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- William Kondo
- Cruz Vermelha Hospital Curitiba, Parana, Brazil
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- Jose Inacio Sanseverino
- Hospital Irmandade Santa Casa da Misericordia, Porto Alegre, Brazil
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- José Américo G. de Sousa
- SOUSAGROUP Hospital Femina, Goiania, Brazil
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- Lil Saavedra
- Clínica de Día Avendaño, Lima, Peru
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- Edwin Ramírez
- Clínica de Día Avendaño, Lima, Peru
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- Josemberg Campos
- University Recife, Recife, Brazil
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- K. Sivakumar
- PSG Hospital, Coimbatore, India
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- Pidigu Seshiyer Rajan
- GEM Hospital and Postgraduate Institute, Coimbatore, India
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- Priyadarshan Anand Jategaonkar
- GEM Hospital and Postgraduate Institute, Coimbatore, India
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- Muthukumaran Ranagrajan
- GEM Hospital and Postgraduate Institute, Coimbatore, India
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- Ramakrishnan Parthasarathi
- , GEM Hospital and Postgraduate Institute, Coimbatore, India
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- Palanisamy Senthilnathan
- GEM Hospital and Postgraduate Institute, Coimbatore, India
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- Mohan Prasad
- GEM Hospital and Postgraduate Institute, Coimbatore, India
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- Diego Cuccurullo
- NOC Chirugia Generale e Laparoscopica, Naples, Italy
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- Verena Müller
- Sana Clinical Center Berlin, Berlin, Germany
説明
<jats:p> Objectives: Natural orifice translumenal endoscopic surgery (NOTES) is evolving as a promising alternative for abdominal surgery. IMTN Registry was designed to prospectively document early results of natural orifice surgery among a large group of clinical cases. Methods: Sixteen centers from 9 countries were approved to participate in the study, based on study protocol requirements and local institutional review board approval. Transgastric and transvaginal endoscopic natural orifice surgery was clinically applied in 362 patients. Intraoperative and postoperative parameters were prospectively documented. Results: Mean operative time for transvaginal cholecystectomy was 96 minutes, compared with 111 minute for transgastric cholecystectomy. A general complication rate of 8.84% was recorded (grade I-II representing 5.8%, grade III-IV representing 3.04%). No requirement for any analgesia was found in one fourth of cholecystectomy and appendectomy patients. Conclusions: Results of clinical applications of NOTES in the IMTN Study showed the feasibility of different methods of this new minimally invasive alternative for laparoscopic and open surgery. </jats:p>
収録刊行物
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- Surgical Innovation
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Surgical Innovation 17 (2), 142-158, 2010-05-25
SAGE Publications