Transgastric appendicectomy

@article{Kaehler2013TransgastricA,
  title={Transgastric appendicectomy},
  author={Georg F. Kaehler and Markus Bo Schoenberg and Peter Kienle and Stefan Post and Richard Magdeburg},
  journal={British Journal of Surgery},
  year={2013},
  volume={100}
}
Experimental studies and small anecdotal reports have documented the potential and feasibility of transgastric appendicectomy. This paper reports the results of the new technique in a selected group of patients. 
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References

SHOWING 1-10 OF 10 REFERENCES
Transgastric peritoneoscopy and appendectomy: thoughts on our first experience in humans.
TLDR
The transgastric approach to the abdominal cavity was shown to be feasible, but significant technical problems remain to be resolved.
Clinical experience with a multifunctional, flexible surgery system for endolumenal, single-port, and NOTES procedures
TLDR
Availability of a multifunctional, flexible surgery platform provides a choice of a single-port or incisionless surgical approach with the potential to reduce complications, pain, and recovery time while improving cosmesis.
NOTES—case report of a unidirectional flexible appendectomy
TLDR
A trans-vaginal appendectomy is performed on a human subject using a therapeutic single-canal gastroscope and ligature of the appendix base was performed by means of endoloop, followed by transsection with scissors.
International Multicenter Trial on Clinical Natural Orifice Surgery—NOTES IMTN Study: Preliminary Results of 362 Patients
TLDR
Results of clinical applications of NOTES in the IMTN Study showed the feasibility of different methods of this new minimally invasive alternative for laparoscopic and open surgery.
ASGE/SAGES Working Group on Natural Orifice Translumenal Endoscopic Surgery
TLDR
The group identified the barriers that needed to be surmounted for the development of translumenal endoscopic intraperitoneal surgery and developed a list of next steps and guidelines to move this concept ahead.
Effectivity of current sterility methods for transgastric NOTES procedures: results of a randomized porcine study.
TLDR
The use of intravenous antibiotics in addition to topical antimicrobial lavage of mouth and stomach and treatment with proton pump inhibitors decreased the peritoneal bacterial load to almost zero and this was associated with a significantly lower peritoneAL infection rate compared with saline-only lavage.
Laparoscopic versus conventional appendectomy - a meta-analysis of randomized controlled trials
TLDR
LA provides considerable benefits over OA, including a shorter length of hospital stay, less postoperative pain, earlier postoperative recovery, and a lower complication rate.
Laparoscopic or open appendectomy for complicated appendicitis?