Natural Orifice Surgery: No Scars
Surgery Without External Cuts Called 'Next Greatest Surgical Evolution'
WebMD News Archive
NOTES vs. Laparoscopy
The NOSCAR group obviously is promoting the "no scar" aspect of
NOTES. But current minimally invasive laparoscopic surgical techniques already
leave no lasting scar, says John G. Hunter, MD, professor and chairman of
surgery at Oregon Health & Science University in Portland.
"Having had laparoscopic surgery myself, and as a laparoscopic surgeon,
I can tell you there are no scars within six months to a year of the
operation," Hunter tells WebMD. "To suggest laparoscopy is scarring and
NOTES isn't is not accurate."
Hunter also questions whether recovery time is truly longer with minimally
invasive surgery than for NOTES.
Hunter's editorial comments accompany the Marescaux report in the
Archives of Surgery.
"The benefits of NOTES are not earthshaking and the risks are real,"
he writes. "Marescaux and colleagues. You have (again) put man on the moon.
Now we need to figure out if there is any reason to populate this new
Hunter is all too aware of how this makes him sound. As a young surgeon
advocating minimally invasive surgery, he remembers being told by older
surgeons that he was wasting his time.
"They said laparoscopy would never fly -- and they were completely
wrong," he remembers.
While Hunter doesn't think that NOTES will end up being the best way to
perform gallbladder operations, he does see ways the technique could, in the
future, improve a number of surgical procedures.
"There is a lot of great opportunity here," he says. "I don't
see NOTES as revolutionary. It might be incrementally better for some things.
It is evolution rather than revolution at this point."