True natural orifice transluminal endoscopic surgery-transgastric cholecystectomy and beyond

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, sta...

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Main Authors: Pingting Gao, Jia Yu, Mingyan Cai, Lili Ma, Quanlin Li, Pinghong Zhou
Format: Article
Language:English
Published: Korean Society of Gastrointestinal Endoscopy 2025-07-01
Series:Clinical Endoscopy
Subjects:
Online Access:http://e-ce.org/upload/pdf/ce-2024-352.pdf
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author Pingting Gao
Jia Yu
Mingyan Cai
Lili Ma
Quanlin Li
Pinghong Zhou
author_facet Pingting Gao
Jia Yu
Mingyan Cai
Lili Ma
Quanlin Li
Pinghong Zhou
author_sort Pingting Gao
collection DOAJ
description 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. This review explores the historical development of cholecystectomy, evolution of NOTES, and emergence of ETGC as a feasible alternative to laparoscopic cholecystectomy. 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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language English
publishDate 2025-07-01
publisher Korean Society of Gastrointestinal Endoscopy
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series Clinical Endoscopy
spelling doaj-art-c8c5ca8bdbe6408d9cd0c7a6c4cfadea2025-08-20T03:16:21ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432025-07-0158451852410.5946/ce.2024.3527998True natural orifice transluminal endoscopic surgery-transgastric cholecystectomy and beyondPingting GaoJia YuMingyan CaiLili MaQuanlin LiPinghong ZhouNatural 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. This review explores the historical development of cholecystectomy, evolution of NOTES, and emergence of ETGC as a feasible alternative to laparoscopic cholecystectomy. 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.http://e-ce.org/upload/pdf/ce-2024-352.pdfcholecystectomyminimally invasive surgical proceduresnatural orifice endoscopic surgery
spellingShingle Pingting Gao
Jia Yu
Mingyan Cai
Lili Ma
Quanlin Li
Pinghong Zhou
True natural orifice transluminal endoscopic surgery-transgastric cholecystectomy and beyond
Clinical Endoscopy
cholecystectomy
minimally invasive surgical procedures
natural orifice endoscopic surgery
title True natural orifice transluminal endoscopic surgery-transgastric cholecystectomy and beyond
title_full True natural orifice transluminal endoscopic surgery-transgastric cholecystectomy and beyond
title_fullStr True natural orifice transluminal endoscopic surgery-transgastric cholecystectomy and beyond
title_full_unstemmed True natural orifice transluminal endoscopic surgery-transgastric cholecystectomy and beyond
title_short True natural orifice transluminal endoscopic surgery-transgastric cholecystectomy and beyond
title_sort true natural orifice transluminal endoscopic surgery transgastric cholecystectomy and beyond
topic cholecystectomy
minimally invasive surgical procedures
natural orifice endoscopic surgery
url http://e-ce.org/upload/pdf/ce-2024-352.pdf
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