EATS releases - Newsletter archive

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May 09 - BRAND-NEW RELEASE OF NOTES-RELATED CONTENTS on EATS! Newsletter
Videos Transvaginal hybrid sleeve gastrectomy in a patient with a BMI of 40: live surgery during a NOTES course - M Vix, B Dallemagne, D Coumaros, Gf Donatelli
Laparoscopic sleeve gastrectomy is a relatively new procedure, which is gaining popularity for the treatment of morbid obesity. In this live video demonstration from the March 2009 NOTES Advanced Course at IRCAD in...
Lectures NOTES sigmoidectomy: transrectal, transcolonic and combined accesses - J Leroy
In this lecture, Prof. Joel Leroy explains what is the potential role of NOTES in colorectal resection presenting the actual challenges for such procedures such as access, exposure, specimen extraction, and new...
Lectures Minimizing the minimal access to the spleen: single incision endoscopic splenectomy, a feasible alternative to conventional laparoscopic splenectomy - EM Targarona
In this lecture, Prof. Eduardo Targarona presents a case of single incision endoscopic splenectomy in a 26-year-old man, detailing the surgical steps, the technical details and the surgical instrumentation.
Interviews 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? - R Kennedy
Interviews In your opinion, how will physicians train for NOTES, and will this technique be performed by surgeons, endoscopists, or both? - R Kennedy
Interviews 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? - R Kennedy

July 08 - THE EATS CELEBRATES ITS FIRST BIRTHDAY! Newsletter
Lectures Magnetically anchored deployable instruments for NOTES - D Scott
This intriguing overview describes the various means and methods that magnetic anchoring and guidance systems may be employed in NOTES to provide effective organ retraction as well as the countertraction necessary to...
Lectures Transvesical port: creation, closure and applicability in NOTES procedures - J Correia-Pinto
This lecture given at the latest NOTES course (June 6-7, 2008) discusses and deliberates the pros and cons of transvesical transluminal access. It also discloses information regarding the most effective means of...
Lectures Transvaginal access - J Nassif
This practical lecture details the rationale and methods for obtaining transvaginal access to both the peritoneum and retroperitoneum. It also provides the background history and evolution of the techniques involved.
Lectures NOTES: diagnostic human studies - J Hazey
This lecture details some human diagnostic applications for NOTES and describes the discussant's own experience with the technique in patients.
Interviews 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? - J Correia-Pinto, J Hazey
Interviews Are there any problems related to the use of magnetic devices in your surgical environment? - D Scott, M Anvari
Interviews Can you talk us through the latest technical and instrumental developments for NOTES in Japan? - N Tanigawa

May 08 - Brand-new release of NOTES-related contents on EATS! Newsletter
Lectures Transoral foregut endoscopic surgery - GB Cadière
This key note lecture details the evolution and current status of endoscopic techniques that effect transoral foregut surgery. The technology as well as clinical outcomes are described and deliberated.
Lectures NOTES: esophagus and mediastinum - A Fritscher-Ravens
This authoritative lecture presents current strategies and indications for effecting trans-esophageal access into the mediastinum for the purposes of NOTES intervention. Experimental data is presented to support its...
Lectures Flexible robotic endoscopic technology for surgical and diagnostic applications - A Noll
This overview of developmental technology describes how robotic technology is being dovetailed with flexible endoscopic instruments to provide, perhaps, the next generation of NOTES equipment.
Interviews What technology related to intraluminal surgery could be applied to NOTES? - GB Cadière
Interviews What role can NOTES play in the treatment of morbid obesity? - GB Cadière
Interviews What key technological developments in your field are likely to favour the expansion of NOTES? - A Fritscher-Ravens
Interviews In your opinion, which approach (transvaginal, transgastric, transcolonic) will eventually be widely accepted, taking account of risks of infection and general acceptability? - A Fritscher-Ravens
Interviews Is specific training needed for both the surgeon and the gastroenterologist, and if so, what kind? - A Fritscher-Ravens
Interviews In your opinion, what are the therapeutic indications and in which areas of practice can NOTES be applied to? - A Fritscher-Ravens
Interviews What do you think of the first totally NOTES transvaginal cholecystectomy? - A Fritscher-Ravens
Interviews How do you envisage a transesophageal access in the light of the high risks of lethal complications related to an intramediastinal surgery? - A Fritscher-Ravens
Interviews Does the use of endoscopic ultrasonography guarantee total security for transluminal access? - A Fritscher-Ravens
Vox Populi From the common room
Participants from the 4th NOTES Advanced Course reveal the background to their interest and their initial impressions having witnessed the live demonstrations.
Vox Populi Discussion on indications and current practice in humans
This vox populi ascertains the participants' view of NOTES during the hands-on section of the course. They discuss their impressions and early experience as well as their hopes and expectations for the future of NOTES.

March 08 - Brand-new release of NOTES-related contents on EATS! Newsletter
Videos Transvaginal access to the retroperitoneum - S Perretta, B Dallemagne, P Allemann, J Nassif, C Zacharopoulou, A Wattiez, J Marescaux
This video demonstrates the transvaginal approach to the retroperitoneal space. A posterior colpotomy is carried out with the needle-knife. The retroperitoneal space is entered digitally enlarging the posterior vaginal...
Lectures NOTES sigmoidectomy technical tricks: experimental study on a porcine model - J Leroy
This detailed lecture with real-time video illustration demonstrates how sigmoidectomy may be performed via NOTES in an experimental model. As much as technological innovation, this approach emphasizes how the surgeon's...
Lectures Endoscopic suturing methods - N Soper
This state of the art lecture describes and analyses the latest innovative devices for performing endoscopic suturing. The latest technological development are detailed.
Interviews In what ways can NOTES be compared to the single port approach? - JF Zhu
Compared to NOTES, single port approach, or transumbilical endoscopic surgery (TUES) can obtain the same cosmetic results. It is relatively simple and safe, and can avoid all the complications appeared in NOTES. TUES can...
Interviews Are there any risks to using larger ports with regards to abdominal wall complications? - JF Zhu
It is possible to damage the abdominal wall or viscera when puncturing through the infra-umbilicus incision if we are using a larger trocar (the tri-channel trocar with the diameter of 15 mm). Caution must be taken to...
Interviews In your opinion, what are the best indications for the single port approach? - JF Zhu
The indications for TUES surgery will change with improvement in the technique. I think that current best indications for TUES include appendectomy, liver cyst fenestration and cholecystectomy in general surgery. I am...
Interviews Do you think that morbid obesity represents any limitation to TUES? - JF Zhu
It is relatively difficult to do any surgery for obese patients. But I don’t think there is any limitation to TUES although it will be difficult to maneuver in obese patients. The technical difficulty will be overcome...
Interviews In your opinion, what are the current technical limitations of NOTES which promotes TUES? - JF Zhu
NOTES is a procedure of great challenges. There are some problems at present because it is only at its early beginnings. Any difficulty in NOTES can be overcome in human beings with technical and instrumental...
Vox Populi NOTES sigmoidectomy
In this interview segment, the experimental practice of performing localized sigmoidectomy by NOTES in its entirety is debated. The views of both experts and non-experts are elucidated to decide its impact on the...
Vox Populi Single port surgery
In this vox populi, participants from the January 2008 International NOTES course give their views on the concept and practice of single port surgery both in its own right and as a means of facilitating the clinical...

February 08 - Brand-new release of NOTES-related contents on EATS! Newsletter
Videos Transvaginal hybrid NOTES sleeve gastrectomy - M Vix, C Solano, M Asakuma
This video shows the technique of a NOTES hybrid sleeve gastrectomy performed live during the NOTES course. The intra-abdominal access is made via a transvaginal approach (double channel KARL STORZ endoscope and one...
Videos Gastric access and closure: a safe approach paving the way to clinical applications - LL Swanström
This video displays the creation and closure of a gastrotomy for any transgastric approach step by step. It also illustrates a clever way to maintain the pneumogastrium. This video details the main obstacles and...
Lectures NOTES cholecystectomy: initial clinical experience - B Dallemagne
This lecture describes how the initial clinical experience of NOTES cholecystectomy in human is proceeding in Europe and deliberates the modifications required to ensure safe performance and outcome.
Lectures Next clinical steps and protocols - N Soper
This lecture details the main issues facing the incorporation of NOTES into clinical practice. In particular, it stresses how the issue of secure closure requires definitive address before acceptance of the approach.
Lectures NOTES right colectomy with transrectal and transgastric access - LL Swanström
This lecture displays and discusses the performance of a right hemicolectomy by NOTES in a human cadaver model. Issues regarding the technique's evolution and learning curve as well as each technical step are fully...
Interviews What key technological developments in your field are likely to favour the expansion of NOTES? - N Soper
Interviews In your opinion, which approach (transvaginal, transgastric, transcolonic) will eventually be widely accepted, taking account of risks of infection and general acceptability? - N Soper
Interviews Is specific training needed for both the surgeon and the gastroenterologist, and if so, what kind? - N Soper
Interviews In your opinion, what are the therapeutic indications and in which areas of practice can NOTES be applied to? - N Soper
Interviews 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? - N Soper
Vox Populi From the floor
In this video, participants of the recent NOTES course in the IRCAD-EITS training center recount their initial impressions of the spectrum of techniques presented during the live surgery session.
Vox Populi From the lab
Here a range of participants give their impressions during the NOTES workshop at the IRCAD-EITS training center in Strasbourg, France. They explain their views of the currently available instruments as well as recount...

December 07 - Brand-new release of NOTES-related contents on EATS! Newsletter
Videos Transvaginal hybrid NOTES sleeve gastrectomy - M Vix, C Solano, M Asakuma
This video shows the formatting of gastric sleeve surgery via a hybrid NOTES technique in a porcine model. A transvaginal approach is used along with one single transabdominal trocar with additional retraction aided by...
Lectures NOTES nephrectomy - J Correia-Pinto
This lecture discusses the rationale behind the proposal for combined-access NOTES procedures and details the speaker’s experience to-date on this approach.
Lectures Universal approach to the peritoneal cavity - H Feussner
This lecture details the development and application of a modified-TEMS instrument that is proposed to facilitate trans-sigmoid NOTES procedures as well as allowing effective closure of the peritoneal entry point.
Lectures Available endoscopic suturing methods - PO Park
This expert review details the spectrum of current available endoscopic suturing methods and devices and gives demonstrations of their applications.
Lectures Advanced technology and the future of surgery - R Satava
This lecture gives a glimpse of the surgical techniques and attitudes that may exist in the future. The speaker extrapolates current experimental developments into real-world clinical scenarios to portray where modern...
Interviews Colorectal surgery: you were a pioneer of the open approach, a firm supporter of the laparoscopic approach; what is now your opinion of NOTES? - RJ Heald
Interviews What is the benefit of colonic specimen extraction through the rectum? Do you believe this has led to NOTES sigmoidectomy? - ME Franklin
Interviews What do you think of the totally NOTES sigmoidectomy (combined transgastric and transrectal route) and what is your opinion of NOTES generally speaking? - ME Franklin

November 07 - 8 NOTES New Lectures! Newsletter
Videos Lights on NOTES, October 12, 2007
This recording of a masterclass in NOTES held at the IRCAD (2nd International NOTES hands-On Course, October 12-13, 2007) demonstrates the salient steps of several NOTES operations performed simultaneously and includes...
Lectures History of NOTES - J Marescaux
This keynote lecture details the genesis of NOTES from its inception through the present day and into the future. It describes the challenges faced by the pioneers of the technique and discusses their perceptions...
Lectures Closure with suturing methods - M Bergström
This video demonstrates the facility of a novel endoscopic closure device in closing NOTES access sites. It also discusses the short- and long-term outcomes of two experimental studies comparing this modality with open...
Lectures Endoscopic suturing: incoming - J Marks
This lecture describes the endoscopic instruments in development which are being designed to allow effective suturing to be incorporated into NOTES procedures.
Lectures Physiology of NOTES - J Marks
This lecture details the likely physiological consequences of NOTES surgery and discusses the results of an experimental study investigating the biochemical and immunological reaction to such procedures.
Lectures Gastrojejunostomy - PO Park
This lecture demonstrates the methodology, as well as early and late sequelae, of an original method of fashioning a gastrojejunal anastomosis from within the stomach. An innovation endoscopic tagging device is utilised...
Lectures Robotics and NOTES - R Satava
This lecture portends the huge potential that could be achieved if the capabilities of robotic innovations can be harnessed to the emerging NOTES portfolio. It details current and future strategies that are aiming to do...
Lectures New generation of endoscopes and platforms for NOTES surgery: October 2007 update - LL Swanström
This techical lecture describes the development of new endoscopes and platforms that aim to overcome the technical limitations of contemporary instrumentation.
Lectures Transgastric NOTES cholecystectomy: Phase I efficacy and outcomes trial - LL Swanström
This lecture details a centre’s early clinical experience of using a hybrid NOTES technique to perform cholecystectomy in human patients. The rigors of institutional board and ethical review processes are detailed as...
Interviews For which clinical applications does NOTES suit best and what type of patient will benefit from it? - D Rattner
Interviews From a surgeon’s perspective, what are the arguments that justify transcolonic access? - H Feussner
Interviews From GI endoscopy to surgery, exploring a forbidden territory: how did you do it? - J Hochberger
Interviews In what ways has NOTES evolved since last year's course at IRCAD? - J Correia-Pinto
Interviews In your opinion, is NOTES as revolutionary as laparoscopy was in the 90's? - J Mamazza, D Rattner
Interviews In your opinion, what are the therapeutic indications and in which areas of practice can NOTES be applied to? - M Bergström, H Feussner, J Hochberger, R Satava
Interviews In your opinion, which approach (transvaginal, transgastric, transcolonic) will eventually be widely accepted, taking account of risks of infection and general acceptability? - M Bergström, H Feussner, J Hochberger, R Satava
Interviews Is specific training needed for both the surgeon and the gastroenterologist, and if so, what kind? - M Bergström, H Feussner, J Hochberger
Interviews Many surgeons are afraid of the transcolonic approach due to the septic risks, do you believe this is still the case? - C Thompson
Interviews NOTES: science or fiction, do you believe it has a future? - R Satava
Interviews Single port surgery and NOTES: competition or transition? - D Rattner
Interviews Talk us through the use of magnets and gravity in NOTES - M Ryou
Interviews Targeting the chest: is it feasible and how could it be applied clinically? - M Bergström
Interviews 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? - M Bergström, H Feussner, J Hochberger, R Satava
Interviews What key technological developments in your field are likely to favour the expansion of NOTES? - M Bergström, H Feussner, J Hochberger, R Satava
Interviews You are known as a visionary in robotics applied to surgery; what do you think will be the place of robotics in NOTES? - RM Satava
Vox Populi Vox populi from the lab
This video is shot in the experimental laboratory of the IRCAD-EITS during the hands-on session. The instructors and the participants are interviewed and interact on an array of themes related to NOTES (such as advice...
Vox Populi Vox populi: feedback from the audience
A kaleidoscope of participants answering questions on NOTES during the 2nd International Hands-on course at IRCAD is shown here. This videos helps to better understand the experience and aspirations of participants from...

September 07 - Boost in EATS memberships! Newsletter
Lectures An original approach: cardiac occluder - S Perretta
This lecture details the early experience of the use of a cardiac occlusion device to plug the gastrotomy after completion of a NOTES procedure. A full description of this novel, simple technique to obtain secure closure...
Lectures Early human experience with advanced flexible endoscopes for NOTES - LL Swanström
This lecture provides a description of an advanced flexible endoscope that has been designed to overcome some of the limitations associated with standard instruments and is tailored for usage in NOTES procedures. The...
Lectures Multitasking platform - C Thompson
This technical lecture discusses the history of the use of the flexible endoscope and draws attention to the current limitations of the devices in common, current practice. Details are given of what features are needed...
Lectures Magnetic manipulators in NOTES - B Dunkin
This lecture describes how intraperitoneal and intraluminal magnets can be controlled extracorporeally as an adjunct to NOTES procedures. In this way, the organ retraction and rotation that is currently not possible...
Interviews What key technological developments are likely to favour the expansion of NOTES? - M Bailey, M Bessler, B Dallemagne, KH Fuchs, J Marescaux, PO Park, LL Swanström, C Thompson, A Wattiez, A Watrelot, R Zorron
Interviews What is your experience of NOTES in Asia? Do you have or do you see any applications of NOTES in colorectal surgery? - M Li
Interviews What is your experience in the field of NOTES in Brazil? - R Zorron
Interviews 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? - M Bailey
Interviews Can you tell us about the first NOTES transgastric cholecystectomy that you performed at Legacy Hospital in Portland, Oregon ? - LL Swanström
Interviews Any advantages over open and laparoscopic surgery? - LL Swanström

July 07 - A great number of EATS members so far! Newsletter
Lectures NOTES combined approach: transgastric and transvesical ports - J Correia-Pinto
This explains the rationale underlying dual or combined access NOTES procedure nd demonstrates how this approach may be used for cholecystectomy and nephrectomy (in animal models). It also gives consideration to whether...
Lectures Transvaginal cholecystectomy - S Perretta, J Marescaux
This lecture details the development of the necessary expertise to perform the world’s first “no scar” NOTES cholecystectomy in a human patient. The operation itself is shown with description of each of the key...
Lectures The state of NOTES - P Swain
This key note lecture by a world authority on NOTES describes vividly the past, present and future of the technology and procedure and gives a rounded view of the current state of the art.
Lectures Secure closure of the NOTES access site - LL Swanström
This lecture explains the principles underlying endoluminal closure of visceral access sites following NOTES procedures and demonstrates current techniques before considering emerging technologies that could facilitate...
Interviews In your opinion, what are the therapeutic indications and in which areas of practice can NOTES be applied to? - M Bailey, M Bessler, KH Fuchs, PO Park, LL Swanström, C Thompson, P Swain, B Dunkin, R Zorron
Interviews 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? - M Bailey, M Bessler, B Dallemagne, B Dunkin, KH Fuchs, J Marescaux, PO Park, P Swain, LL Swanström, C Thompson, A Watrelot, A Wattiez, R Zorron
Interviews In your opinion, which approach (transvaginal, transgastric, transcolonic) will eventually be widely accepted, taking account of risks of infection and general acceptability? - M Bailey, M Bessler, B Dallemagne, KH Fuchs, PO Park, LL Swanström, C Thompson, B Dunkin, P Swain, R Zorron
Interviews Is specific training needed for both the surgeon and the gastroenterologist, and if so, what kind? - M Bailey, M Bessler, B Dallemagne, KH Fuchs, PO Park, LL Swanström, C Thompson, B Dunkin, P Swain, R Zorron

June 07 - New exclusive content in NOTES for all EATS members and those to be! Newsletter
Videos First NOTES cholecystectomy - J Marescaux, B Dallemagne, S Perretta, D Mutter, A Wattiez, D Coumaros
This video shows the first totally NOTES cholecystectomy via a transvaginal approach in a 30-year-old woman with symptomatic cholelithiasis. The operation was performed by a multidisciplinary team, which included a...
Lectures Transvesical access - J Correia-Pinto
This lecture explains the rationale for and advantages of lower abdominal access for intra-abdominal NOTES procedures. It then details from first principles how such access may be securely gained by a transvesical...
Lectures Key challenges: How to get access to the peritoneal cavity? How to prevent infection? How to prevent gas leak? Transgastric access - B Dunkin
This lecture explains the principles regarding access to the abdominal cavity via a transgastric approach and provides details of the various techniques to make a gastrotomy. It also shows video footage of a...
Lectures History of NOTES - A Kalloo
This lecture by one of the early pioneers of NOTES explains the theory and early proof of principle experiments. It then covers the graduated evolution of practice from initiation with basic techniques up to the current...
Lectures Transrectal NOTES using TEM - LL Swanström
This lecture describes how the well-established technique of Transanal Endoscopic Microsurgery (TEM) can be married to the principles and practice of transrectal NOTES operations. The main advantages are the provision of...
Lectures Transcolonic access - C Thompson
This lecture begins with covering pelvic organ NOTES operation via a transgastric approach before proceeding to cover the rationale, technique and performance of similar procedures being performed transcolonically in...
Lectures Transvaginal access - A Watrelot, A Wattiez
This lecture describes the long-established operation of colposcopy and how the technique has been progressed to provide a means of transvaginal access to the peritoneal cavity for NOTES procedures as well as detailing...
Interviews 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? - M Bailey, M Bessler, B Dallemagne, B Dunkin, KH Fuchs, J Marescaux, PO Park, P Swain, LL Swanström, C Thompson, A Watrelot, A Wattiez, R Zorron
Interviews What is your opinion of the transvaginal approach for NOTES? - A Wattiez, A Watrelot
Interviews Is specific training needed for both the surgeon and the gastroenterologist, and if so, what kind? - M Bailey, M Bessler, B Dallemagne, KH Fuchs, PO Park, LL Swanström, C Thompson, B Dunkin, P Swain, R Zorron
Interviews In your opinion, what are the therapeutic indications and in which areas of practice can NOTES be applied to? Are there any potential risks related to the transvaginal access in women? - A Wattiez, A Watrelot


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