Interviews (110)

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Technology (8)
Do you have any idea as to why this technological concept has never been applied before in conventional or laparoscopic surgery?
Can you talk us through the latest technical and instrumental developments for NOTES in Japan?
Are there any problems related to the use of magnetic devices in your surgical environment?
What technology related to intraluminal surgery could be applied to NOTES?
Are there any risks to using larger ports with regards to abdominal wall complications?
What key technological developments in your field are likely to favour the expansion of NOTES?
Talk us through the use of magnets and gravity in NOTES
What key technological developments are likely to favour the expansion of NOTES?
Concepts and philosophy (29)
In your opinion, how will physicians train for NOTES, and will this technique be performed by surgeons, endoscopists, or both?
Laparoscopic surgery has now been around for the last two decades and your experience in this field is immense. We now hear more and more about techniques such as NOTES and single trocar surgery, what are your thoughts on these?
Is it conceivable and advantageous to have a colorectal department in which surgeons specialised in open, NOTES and laparoscopic surgery would work hand in hand?
Do you believe that NOTES has a future in colorectal surgery?
You extract many colonic specimens through natural orifices. In your opinion, what are the indications, limits and future of NOTES for colorectal procedures?
Can you describe the NOTES transgastric cholecystectomy and the potential obstacles to this technique?
In your opinion, what are the therapeutic indications and in which areas of practice can NOTES be applied to?
What do you think of the first totally NOTES transvaginal cholecystectomy?
What role can NOTES play in the treatment of morbid obesity?
What key technological developments in your field are likely to favour the expansion of NOTES?
Is specific training needed for both the surgeon and the gastroenterologist, and if so, what kind?
How do you envisage a transesophageal access in the light of the high risks of lethal complications related to an intramediastinal surgery?
In your opinion, what are the current technical limitations of NOTES which promotes TUES?
In what ways can NOTES be compared to the single port approach?
What do you think of the first totally NOTES transvaginal cholecystectomy that was performed at IRCAD after what had been done at Columbia University in New York?
What do you think of the totally NOTES sigmoidectomy (combined transgastric and transrectal route) and what is your opinion of NOTES generally speaking?
Colorectal surgery: you were a pioneer of the open approach, a firm supporter of the laparoscopic approach; what is now your opinion of NOTES?
For which clinical applications does NOTES suit best and what type of patient will benefit from it?
You are known as a visionary in robotics applied to surgery; what do you think will be the place of robotics in NOTES?
From GI endoscopy to surgery, exploring a forbidden territory: how did you do it?
Single port surgery and NOTES: competition or transition?
In your opinion, is NOTES as revolutionary as laparoscopy was in the 90's?
In what ways has NOTES evolved since last year's course at IRCAD?
NOTES: science or fiction, do you believe it has a future?
Many surgeons are afraid of the transcolonic approach due to the septic risks, do you believe this is still the case?
What is your experience of NOTES in Asia? Do you have or do you see any applications of NOTES in colorectal surgery?
What is your experience in the field of NOTES in Brazil?
Any advantages over open and laparoscopic surgery?
As you know, Lee Swanström has recently performed the first transgastric cholecystectomy in Portland. In your opinion, what are the advantages of NOTES over open and laparoscopic surgery?
Access / Closure (12)
Do multiple accesses lead to a multiplied rate of complications?
Are there any risks associated with the use of multiple ports in NOTES?
What is your opinion of the indications for the transvesical access in humans? Is there a future for human applications or is it uniquely a laboratory experimentation?
In your opinion, which approach (transvaginal, transgastric, transcolonic) will eventually be widely accepted, taking account of risks of infection and general acceptability?
Does the use of endoscopic ultrasonography guarantee total security for transluminal access?
In your opinion, what are the best indications for the single port approach?
Do you think that morbid obesity represents any limitation to TUES?
What is the benefit of colonic specimen extraction through the rectum? Do you believe this has led to NOTES sigmoidectomy?
Targeting the chest: is it feasible and how could it be applied clinically?
From a surgeon’s perspective, what are the arguments that justify transcolonic access?
Can you tell us about the first NOTES transgastric cholecystectomy that you performed at Legacy Hospital in Portland, Oregon ?
In your opinion, which approach (transvaginal, transgastric, transcolonic, transvesical) will eventually be widely accepted, taking account of risks of infection and general acceptability?

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