[Current and future trends in natural orifice translumenal endoscopic surgery-related procedures: endoscopists' perspective].

The concept of "no-scar surgery" in natural orifice translumenal endoscopic surgery (NOTES) is appealing to both surgeons and endoscopists. However, it is challenging for endoscopists to perform surgery via a keyhole created in the gastrointestinal wall at a site distant from the gut lumen. Technologies developed to achieve the NOTES concept such as endoscopic suturing systems will greatly benefit endoscopists when they can be used for endolumenal intervention and push the envelope of endoscopic surgery toward deeper layers and treating the full thickness of the gut wall.