| Theme |
Future Perspectives of Therapeutic Endoscopy Such as ESD and NOTES |
| Title |
Current Status of NOTES in Japan |
| Author |
Kazuhiro Yasuda |
Department of Surgery I, Oita University Faculty of Medicine |
| Author |
Takahiro Hiratsuka |
Department of Surgery I, Oita University Faculty of Medicine |
| Author |
Yohei Kono |
Department of Surgery I, Oita University Faculty of Medicine |
| Author |
Tomonori Akagi |
Department of Surgery I, Oita University Faculty of Medicine |
| Author |
Kosuke Suzuki |
Department of Surgery I, Oita University Faculty of Medicine |
| Author |
Koji Kawaguchi |
Department of Surgery I, Oita University Faculty of Medicine |
| Author |
Fumitaka Yoshizumi |
Department of Surgery I, Oita University Faculty of Medicine |
| Author |
Masafumi Inomata |
Department of Surgery I, Oita University Faculty of Medicine |
| Author |
Seigo Kitano |
Department of Surgery I, Oita University Faculty of Medicine |
| [ Summary ] |
The unique concept of NOTES (natural orifice translumenal endoscopic surgery) has attracted immense interest in Japan. Japanese use of NOTES began in 2007. A registry system was then established for basic and clinical studies to encourage the responsible development and adoption of NOTES into clinical practice. The clinical application of NOTES in Japan began in 2008. Up to this time, seven clinical studies have been conducted and human NOTES procedures have been performed on 148 patients. Uses of this procedure include transgastric peritoneoscopy for preoperative cancer staging, transvaginal endoscopic local resection of the stomach for gastric GIST, transvaginal cholecystectomy, peroral endoscopic submucosal myotomy for esophageal acalasia and laparoscopy-assisted endoscopic full thickness resection of the stomach. NOTES procedures have been steadily evolving and further developments are expected in Japan. |