, Volume 21, Issue 9, p 1680
Date: 26 Jun 2007

The man—machine interface, a paradox of technology. Is the black box (BB) concept an angel or a demon?

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Congratulations for publishing the article by Verdaasdonk et al. [1]. This is a testimony to the torch-bearer role of your August journal in advancing the progress of endoscopic surgery. Evolution of endosurgery has been aided and preceded by innovations in technologies such as endo-optics, cable connections, insufflators, energy sources, light sources [2], and recording apparatus. However, they are not immune to malfunction or mal-application and cannot replace human judgment. A good surgeon believes what he sees and not otherwise [3]. He dissects in avascular anatomical planes by sharp dissection [4] keeping the energy sources as standby only [5]. In laparoscopic cholecystectom, a range of skills can be performed without using energy sources [5], a potentially harmful yet necessary tool. Even in hernia surgery the potential harm from technology is being recognized and this is just the tip of the iceberg [6]. This scenario is alarming due to the aspersions cast upon our honesty [7], d