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Natural orifice transtracheal evaluation of the thoracic cavity and mediastinum

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Abstract

Background

This study aimed to determine the feasibility of a novel transtracheal endoscopic technique for thoracic and mediastinum evaluation in a canine model.

Methods

In two dogs under general anesthesia, a transverse incision was made in the right lateral wall of the lower trachea and used as an entrance for thoracic and mediastinum evaluation.

Results

Transtracheal thoracoscopic evaluation was possible in both animals. One animal experienced massive subcutaneous emphysema immediately after evaluation of the thoracic cavity and required chest tube drainage. The follow-up endoscopies 2 weeks after surgery showed good healing of the tracheal openings in both animals.

Conclusions

The transtracheal approach to the thoracic cavity and mediastinum appears to be feasible. This technique may provide an intriguing platform for the development of natural orifice transluminal surgery (NOTES) in the thoracic cavity.

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References

  1. Trunzo JA, Cavazzola LT, Elmunzer BJ, Poulose BK, McGee MF, Schomish S, Ponsky JL, Marks JM (2009) Facilitating gastrotomy closure during natural orifice transluminal endoscopic surgery using tissue anchors. Endoscopy 2009:1438–8812

    Google Scholar 

  2. von Renteln D, Eickhoff A, Kaehler Riecken B, Caca K (2009) Endoscopic closure of the natural orifice transluminal endoscopic surgery (NOTES) access site to the peritoneal cavity by means of transmural resorbable sutures: an animal survival study. Endoscopy 41:154–159

    Article  Google Scholar 

  3. Swanstrom L, Denk P, Swain P (2009) Development and vali- dation of a new generation of flexible endoscope for NOTES. Surg Innov 16(2):104–110

    Google Scholar 

  4. Jamshidi R, Schecter WP (2007) Biological dressings for the management of enteric fistulas in the open abdomen: a preliminary report. Arch Surg 142:793–796

    Article  PubMed  Google Scholar 

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Acknowledgments

This work was supported by the Chang-Gung Memorial Hospital, Taiwan, contract no. CMRPG-371471.

Disclosures

Chen Yang, Hung-Ping Liu, Yen Chu, Yun-Hen Liu, Ching-Yang Wu, Po-Jen Ko, and Hui-Ping Liu have no conflicts of interest or financial ties to disclose.

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Authors and Affiliations

  1. Division of Genetics, Department of Pediatrics, Taipei Medical University Hospital, Taipei, Taiwan

    Chen Yang

  2. Department of Surgery, Chang Gung Memorial Hospital at Linkou, Laboratory Animal Center, Chang Gung University, No. 5, Fu-Shing Street, Guei-Shan Shiang, Tao-Yuan, 333, Taiwan, ROC

    Hung-Ping Liu, Yen Chu, Yun-Hen Liu, Ching-Yang Wu, Po-Jen Ko & Hui-Ping Liu

Authors
  1. Chen Yang
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  2. Hung-Ping Liu
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  3. Yen Chu
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  4. Yun-Hen Liu
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  5. Ching-Yang Wu
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  6. Po-Jen Ko
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  7. Hui-Ping Liu
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Corresponding author

Correspondence to Po-Jen Ko.

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Yang, C., Liu, HP., Chu, Y. et al. Natural orifice transtracheal evaluation of the thoracic cavity and mediastinum. Surg Endosc 24, 2905–2907 (2010). https://doi.org/10.1007/s00464-010-1029-7

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  • DOI: https://doi.org/10.1007/s00464-010-1029-7

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