Basic Instrumentation for Laparoscopic Surgery
The enthusiasm surrounding minimally invasive surgery, which began with laparoscopic cholecystectomy in 1987, has rapidly expanded into many other areas of abdominal and thoracic surgery. Helping to drive the growth of minimally invasive techniques has been the advent of better instrumentation for dissection and hemostasis, improved video imaging, better familiarity with endoscopic equipment by the operating room staff, and increasing patient awareness of and demand for these procedures. The laparoscopic approaches to adrenalectomy, splenectomy, and other resective surgeries have quickly been adopted and have moved from an acceptable option for removal of pathology to being preferred over the conventional, open techniques for many diseases. Many minimally invasive palliative procedures involving the pancreas and liver have also become well choreographed and represent viable alternatives to their conventional open counterparts. The development of adequate animal models and the availability of the many instructional courses have also aided in promoting the popularity of laparoscopie procedures. The technology in endoscopic surgery has been growing at a rapid rate and has been pushed forward by individual manufacturers in an attempt to gain an advantage in the marketplace. At the same time, the corporate fervor for new or improved instrumentation has allowed surgeons to rapidly expand the role of minimally invasive surgery to nearly all surgical specialties and all areas of the body.
KeywordsLaparoscopic Cholecystectomy Return Electrode Operating Room Staff Insulation Failure Basic Instrumentation
Unable to display preview. Download preview PDF.
- 1.Gow JG, Hopkins HH, Wallace DM, England AG. The modern urological endoscope. In: Hopkins HH, ed. Handbook of Urological Endoscopy. Edinburgh: Churchill Livingstone; 1978: 21 - 33.Google Scholar
- 3.Leighton TA, Liu SS, Bongard FS. Comparative cardiopulmonary effects of carbon dioxide versus helium pneumoperitoneum. Surgery 1993; 116: 527 - 531.Google Scholar
- 7.Newman RM, Traverso LW. Principles of laparoscopic hemostasis. In: Scott-Conner CEH, ed. The SAGES Manual: Fundamentals of Laparoscopy and GI Endoscopy. New York: Springer-Verlag, 1999: 57 - 68.Google Scholar