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Article
NOTES: Progress or marketing?
ANZ Journal of Surgery (2009)
  • Guy Maddern
Abstract
The significance of the introduction of laparoscopic cholecystectomy in the late 1980s and early 1990s was missed by many general surgeons who found themselves unable to compete with a new generation of laparoscopic surgeons. In some cases, this delay to take up change led to poor training and mentoring and patients were the victims. Will natural orifice translumenal endoscopic surgery (NOTES) be the ‘next big thing’? The answer is an emphatic yes and no. Incisionless treatment should be the holy grail for any surgical intervention provided the results are comparable, both with respect to morbidity, mortality and surgical outcome. Ideally it should be at a cost-neutral price when properly assessed with respect to hospital and societal costs of the intervention.
Keywords
  • natural orifice translumenal endoscopic surgery,
  • NOTES,
  • surgical technology
Publication Date
2009
Citation Information
Guy Maddern. "NOTES: Progress or marketing?" ANZ Journal of Surgery Vol. 79 Iss. 5 (2009)
Available at: http://works.bepress.com/guy_maddern/11/