Continuous monitoring of hemodynamics during complex NOTES® procedures

Aims: Natural orifice transluminal endoscopic surgery (NOTES®) is being investigated in animal models and a limited number of procedures performed in humans. There is, however, still insufficient evidence of the impact of intraoperative cardiopulmonary effects during NOTES®. Our primary aim is to characterize the continuous hemodynamic profile of a complex NOTES® procedure. Methods: Ten swine underwent distal pancreatic tumor enucleation under general anesthesia. This procedure involves a distinct endoscopic ultrasound phase and a distinct NOTES enucleation phase. We performed continuous hemodynamic monitoring o…