RT Book, Section
A1 Hunter, John G.
A1 Spight, Donn H.
A1 Sandone, Corinne
A1 Fairman, Jennifer E.
SR Print(0)
ID 1162529566
T1 Advanced Minimally Invasive Surgical Techniques: Single-Incision Laparoscopic Surgery, Robotics, and Natural-Orifice Transluminal Endoscopic Surgery
T2 Atlas of Minimally Invasive Surgical Operations
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071449052
LK accesssurgery.mhmedical.com/content.aspx?aid=1162529566
RD 2024/10/09
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.