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True natural orifice transluminal endoscopic surgery-transgastric cholecystectomy and beyond
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Pingting Gao, Jia Yu, Mingyan Cai, Lili Ma, Quanlin Li, Pinghong Zhou
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Received December 26, 2024 Accepted January 30, 2025 Published online February 26, 2025
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DOI: https://doi.org/10.5946/ce.2024.352
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 Abstract
 PubReader ePub
- Natural orifice transluminal endoscopic surgery (NOTES) represents a revolutionary advancement in minimally invasive surgery, eliminating the need for external incisions and offering faster recovery and improved aesthetics. Endoscopic transgastric cholecystectomy (ETGC), a NOTES-based procedure, stands out for its potential to revolutionize gallbladder removal by offering a truly scarless alternative to traditional laparoscopic cholecystectomy (LC). This review explores the historical development of cholecystectomy, evolution of NOTES, and emergence of ETGC as a feasible alternative to LC. We highlight the technical refinements that have enabled ETGC, including innovations in full-thickness resection and suturing techniques, and discuss challenges such as visibility, orientation, and wound closure. Finally, we examine the role of robotic platforms in enhancing precision and expanding clinical applications by positioning ETGC as a transformative technique in the era of minimally invasive surgery.
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KSGE
