TY - CHAP M1 - Book, Section TI - Minimally Invasive Surgery, Robotics, Natural Orifice Transluminal Endoscopic Surgery, and Single-Incision Laparoscopic Surgery A1 - Spight, Donn H. A1 - Jobe, Blair A. A1 - Hunter, John G. A2 - Brunicardi, F. Charles A2 - Andersen, Dana K. A2 - Billiar, Timothy R. A2 - Dunn, David L. A2 - Kao, Lillian S. A2 - Hunter, John G. A2 - Matthews, Jeffrey B. A2 - Pollock, Raphael E. PY - 2019 T2 - Schwartz's Principles of Surgery, 11e AB - Key Points Minimally invasive surgery describes a philosophical approach to surgery in which access trauma is minimized without compromising the quality of the surgical procedure. The carbon dioxide pneumoperitoneum used for laparoscopy induces some unique pathophysiologic consequences. Robotic surgery has been most valuable in the performance of minimally invasive urologic, gynecologic, colorectal, and complex abdominal wall reconstruction procedures. Natural orifice transluminal endoscopic surgery represents an opportunity to perform truly scar-free surgery. Single-incision laparoscopic surgery reduces the amount of abdominal wall trauma but presents unique challenges to the traditional tenets of laparoscopic ergonomics. Laparoscopy during pregnancy is best performed in the second trimester and is safe if appropriate monitoring is performed. Laparoscopic surgery for cancer is also appropriate if good tissue handling techniques are maintained. Training for laparoscopy requires practice outside of the operating room in a simulation laboratory. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/08 UR - accesssurgery.mhmedical.com/content.aspx?aid=1164309103 ER -