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J Thorac Cardiovasc Surg 2010;140:711-712
© 2010 The American Association for Thoracic Surgery

Brief Technique Report

Secure closure of the tracheal incision after natural orifice transluminal endoscopic surgery with a silicone tracheal stent

Laboratory Animal Center, Department of Surgery, Chang-Gung Memorial Hospital at Linkou and Chang-Gung University, Tao-Yuan, Taiwan

Received for publication October 9, 2009; accepted for publication November 6, 2009.

^_* Address for reprints: Po-Jen Ko, MD, Department of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital and Chang Gung University, No. 5, Fu-Shing Street, Guei-Shan Shiang, Tao-Yuan, Taiwan 333, China. (Email: foreverairmail@gmail.com).

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	Introduction

 

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Since its introduction in 2004, natural orifice transluminal endoscopic surgery (NOTES) has attracted the interest of many clinicians and researchers and demonstrated technical feasibility and efficacy when used in various types of intra-abdominal operations, including transgastric liver biopsy, cholecystectomy, tubal ligation, and peritoneoscopy.^1,2

Although NOTES has some potential advantages, such as being less invasive than the traditional method and causing less postoperative wound pain, there are certain challenges, including optimal access to the peritoneal and thoracic cavities, infection prevention, wound closure, and complication management. Among the abovementioned challenges, wound closure is probably the most difficult to achieve. Several endoscopic modalities, including endoclips, endosutures, and plicators, have been used for wound closure. However, none of these techniques is superior to the others.^1-3

The bronchoscopic procedure is currently the most commonly used modality for treating central airway disease; this procedure has both diagnostic and therapeutic applications. Airway stenting has been used considerably in the treatment of patients with . . . [Full Text of this Article]

This article has been cited by other articles:

				Y.-H. Liu, Y.-C. Wu, T.-P. Chen, and P.-J. Ko Secure Closure of the Tracheal Incision After Natural Orifice Transluminal Endoscopic Surgery With a Surgical Sealant (CoSeal) Surgical Innovation, September 1, 2011; 18(3): NP7 - NP8. [Abstract] [PDF]

				Y.-H. Liu, Y.-C. Wu, M.-J. Hsieh, and P.-J. Ko Effective closure of a tracheal incision by BioGlue in natural orifice transluminal endoscopic surgery performed for thoracic exploration J. Thorac. Cardiovasc. Surg., August 1, 2011; 142(2): 458 - 460. [Full Text] [PDF]