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Natural Orifice Translumenal <strong>Endoscopic</strong><br />

Surgery (NOTES)<br />

Use of flexible endoscopy <strong>to</strong> perform surgery<br />

through natural orifices (rectum, vag<strong>in</strong>a, s<strong>to</strong>mach)<br />

<strong>Transanal</strong> <strong>Endoscopic</strong> <strong>Microsurgery</strong> (TEM)<br />

First attempt at m<strong>in</strong>imally <strong>in</strong>vasive surgery through,<br />

and <strong>in</strong>, a natural orifice<br />

Use laparoscopic <strong>in</strong>struments through a rigid<br />

operat<strong>in</strong>g proc<strong>to</strong>scope<br />

World Laparoscopy Hospital

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