The future of NOTES instrumentation: Flexible robotics and in vivo minirobots

David Canes, Amy C. Lehman, Shane M. Farritor, Dmitry Oleynikov, Mihir M. Desai

Research output: Contribution to journalArticlepeer-review

52 Scopus citations


Natural orifice translumenal endoscopic surgery (NOTES) bridges the gap between standard endoluminal and extraluminal surgery and, as such, presents unique instrumentation challenges, including lack of stable platforms, loss of spatial orientation, and limited instrument tip maneuverability. The proper instrumentation remains to be established, and the incorporation of robotic technology will be essential moving forward. Flexible robotics has been applied to ureteroscopy and holds promise for NOTES. Miniature in vivo robots will potentially play a role. The current status and future implications of these technologies are reviewed.

Original languageEnglish (US)
Pages (from-to)787-792
Number of pages6
JournalJournal of Endourology
Issue number5
StatePublished - May 1 2009

ASJC Scopus subject areas

  • Urology


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