Transluminal endoscopic surgery – new devices developed for a new method

Introduction: At the beginning of the 21st century a new minimally invasive method appeared called NOTES (Natural Orifice Transluminal Endoscopic Surgery). Our working group carried out experiments with this new technique since the end of 2005, such as transgastric gastro-jejunostomy, cholecystectomy and ligation of the Fallopian tube. These procedures were performed on biosynthetic model made of porcine viscera. For the experiments only traditional endoscopic instruments of the everyday practice were used (videoendoscope, electrocoagulator, grasper). According to the national literature and our experiences, cur…