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The History of Minimally Invasive Techniques in Acute Care Surgery

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Mini-invasive Approach in Acute Care Surgery

Part of the book series: Hot Topics in Acute Care Surgery and Trauma ((HTACST))

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Abstract

The use of minimally invasive surgery (MIS) is over 120 years old but has only been accepted in the last 30 years. The advantages of MIS seen in elective procedures like colorectal surgery, foregut surgery, and bariatric surgery are now also being seen in emergency procedures like small bowel obstructions, perforated peptic ulcer disease, and urgent large bowel resections. In the acute and traumatic settings, patients treated by laparoscopy have fewer morbidities, shorter hospital stays, and lower mortality. Training surgeons in MIS to include both laparoscopy and endoscopy is a challenge and not well defined. The robot platform may offer some solutions. The biggest challenges, however, remain the disease and the physiology of the patients. Acute care surgical patients are very sick and knowing when to apply open surgery versus MIS techniques versus surgery at all perplexes surgeons routinely.

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Authors and Affiliations

  1. Wake Forest University, Charlotte, NC, USA

    Robert B. Lim

  2. United States Army, Honolulu, HI, USA

    Robert B. Lim, Freeman Condon & Robert Conrad

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  1. Robert B. Lim
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  2. Freeman Condon
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  3. Robert Conrad
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Correspondence to Robert B. Lim .

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Editors and Affiliations

  1. General, Emergency and Trauma Surgery Department, Pisa University Hospital, Pisa, Pisa, Italy

    Federico Coccolini

  2. Emergency Surgery Department, Cagliari University Hospital, A.O.U. di Cagliari, Monserrato, Cagliari, Italy

    Mauro Podda

  3. Oklahoma Univ. School of Med. at Tulsa, Tulsa, OK, USA

    Robert B. Lim

  4. General, Emergency and Trauma Surgery Department, Pisa University Hospital, Pisa, Pisa, Italy

    Massimo Chiarugi

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Lim, R.B., Condon, F., Conrad, R. (2023). The History of Minimally Invasive Techniques in Acute Care Surgery. In: Coccolini, F., Podda, M., Lim, R.B., Chiarugi, M. (eds) Mini-invasive Approach in Acute Care Surgery. Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-031-39001-2_1

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