In what ways can NOTES be compared to the single port approach?
Epublication WebSurg.com, Mar 2008;08(03). URL: http://websurg.com/doi/vd02en2286zhu1e
Compared to NOTES, single port approach, or transumbilical endoscopic surgery (TUES) can obtain the same cosmetic results. It is relatively simple and safe, and can avoid all the complications appeared in NOTES. TUES can be easily be performed by laparoscopic surgeons without the help of endoscopic physicians. Furthermore, TUES technique may save on expensive devices and OR space. NOTES is attractive because it is an endoscopic therapy: the gallbladder can be removed through a gastroscopic examination! Right now it is simply too difficult for most surgeons. But I am sure it could be widely used as the technology and instruments are further improved.