TY - CHAP M1 - Book, Section TI - Advanced Minimally Invasive Surgical Techniques: Single-Incision Laparoscopic Surgery, Robotics, and Natural-Orifice Transluminal Endoscopic Surgery A1 - Hunter, John G. A1 - Spight, Donn H. A1 - Sandone, Corinne A1 - Fairman, Jennifer E. PY - 2018 T2 - Atlas of Minimally Invasive Surgical Operations AB - In recent years advances in optics, instrumentation, and technical skill coupled with a desire to further minimize operative wounds has led to the proliferation of new highly sophisticated techniques. These newer modalities often challenge the traditional tenets of modern laparoscopy. Single-incision laparoscopic surgery (SILS) uses specialized access devices or multiple tightly spaced fascial incisions at the umbilicus to accomplish what has been traditionally done through multiple port sites. To accomplish an operation in such a limited space requires the laparoscopic surgeon to work in a cross-handed manner and employ specialized curved instruments. Robotic surgery removes the operating surgeon from the bedside and places him or her at a console where hand motions are translated electronically into actions. Natural-orifice transluminal endoscopic surgery (NOTES) uses advanced endoscopic techniques to traverse the upper or lower GI tract or vagina to reach the targeted surgical area. To date, a wide array of surgical procedures have been attempted using these advanced minimally invasive surgery techniques with varying degrees of success. Outcomes data to justify increased costs and OR times has lagged behind market demand in all three of these areas. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/05 UR - accesssurgery.mhmedical.com/content.aspx?aid=1162529566 ER -