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Doody's Review ServiceReviewer: Jessica K Smith, MD (University of Iowa Hospitals and Clinics)
Description: This unique book on the emerging technology of natural orifice translumenal endoscopic surgery (NOTES) provides a detailed description of the techniques and instrumentation available, current research results in human and animal studies, and in what fields of surgery NOTES may be applied. It incorporates a detailed discussion of the potential combination of NOTES and robotic surgery in the future, which may help overcome some of the technical hurdles NOTES has faced up to now. Unique to the book is an accompanying video atlas and corresponding icons within the text that enable readers to actually see what is being described.
Purpose: The purpose is to provide a detailed description of the technology, application, clinical impact, and future directions of NOTES. For surgeons and gastroenterologists using emerging technologies in their practices, it is important to have this kind of comprehensive book detailing what is available or may become available through NOTES.
Audience: This could serve as a reference for students, residents, and practicing surgeons and gastroenterologists, but it will be of particular interest to minimally invasive surgeons. All three editors are well-known experts in the field of NOTES and are recognized for clinical human applications of this technology in the field of surgery.
Features: The book first covers the history and technology behind NOTES to give readers an understanding of why the technology came to be developed. It then goes on to describe individual application of the NOTES technology to general, colorectal, bariatric, and gynecologic surgery, among others. Each of these chapters includes a discussion of results in animal and human trials and potential for future applications in each field as the available technology changes. The final section of the book describes how NOTES, single incision, and robotic surgery may be combined in the future to approximate the goal of incisionless and bloodless operations. The book has strong appeal for minimally invasive surgeons, especially with the section on clinical applications and the well done video atlas. The final section on merging and emerging technologies is very exciting.
Assessment: This is a well-written, logically organized book with excellent illustrations, figures, and high-quality photographs. As a minimally-invasive surgeon, I found the combination of these visual descriptors with the text to be key. I know of no other comprehensive and current resource on NOTES that also includes results of animal and human trials thus far, making this a uniquely authoritative resource on this technology.