RT Book, Section
A1 King, Jonathan C.
A1 Zeh, III, Herbert J.
A2 Zinner, Michael J.
A2 Ashley, Stanley W.
A2 Hines, O. Joe
SR Print(0)
ID 1160037536
T1 Minimally Invasive Approaches to Cancer
T2 Maingot's Abdominal Operations, 13e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9780071843072
LK accesssurgery.mhmedical.com/content.aspx?aid=1160037536
RD 2024/04/24
AB Laparoscopy  has  evolved  tremendously  in  the  past  40  years,  from  a  diagnostic  tool  to  a  surgical  platform  with  nearly  as  many  therapeutic  applications  as  open  surgery.  In  the  most  capable  hands  the  only  current  primary  limitation  to  minimally  invasive  approaches  to  most  gastrointestinal  (GI)  cancers  is  the  size  of  the  incision  required  for  removal  of  the  specimen(s).  However,  it  is  clear  that  the  most  advanced  techniques  require  extensive  training  and  operative  skill  to  perform  safely  and  consistently  on  unselected  patients.  Given  these  skill  sets  are  not  realistically  achievable  by  many  surgeons,  some  techniques  such  as  minimally  invasive  esophageal,  hepatic,  and  pancreatic  resections  will  remain  in  the  purview  of  highly  specialized  practitioners.  More  recently,  laparoscopy  is  being  supplanted  by  the  addition  of  the  robotic  minimally  invasive  platform  with  its  promise  of  improved  surgical  exposure  and  increased  instrument  dexterity.  It  seems  likely  that  with  the  continued  advancement  of  technology  in  the  field,  the  frontier  of  minimally  invasive  surgery  will  continue  to  expand.