Advances in minimally invasive surgery:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Philadelphia
Lippincott Williams & Wilkins
2001
|
| Series: | Problems in general surgery
18,1 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XIII, 98 S. Ill. |
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| adam_text | CONTENTS
(Color insert follows page 18)
Preface xiii
Mark A. Talamini
Robotics in General Surgery 1
Mark A. Talamini and Cathy L. Stanfield
The era of robotics in surgery has now arrived, with systems in use in Europe, and
now approved for use in the United States. This chapter reviews our experience
with robotic abdominal surgery. Particular attention is directed toward issues
unique to robotic surgery that are important for clinical success. Some research
regarding robotic retraction is also reviewed.
Robotic Assistance in Cardiac Surgery 9
W. Randolph Chitwood, Jr., and L. Wiley Nifong
Cardiac surgeons have considered complex valve repairs and accurate coronary
anastomoses impossible using videoscopic vision. This chapter discusses state
of the art developments in intracardiac robotic camera control, as well as articu¬
lated wrist like robots for mitral valve and coronary surgery. It details the da
Vinci robot, which emulates seven degrees of hand motion and has been used for
the first mitral valve repair FDA trial. The world experience in robotic coronary
surgery is also reviewed. Lastly, limitations of these devices and suggestions for
future robotic technolgic improvements are detailed. Hopefully, this primordial
shift from manual to telesurgery will eventuate in true telerobotic surgery with
heightened dexterity and precision.
Telemedicine and Laparoscopic Surgery 21
Sam B. Bhayani and Louis R. Kavoussi
Telemedicine has been used in surgery to proctor clinicians, administer special¬
ized care, and assist during complex procedures. Telemedical technology has the
potential to facilitate dissemination of novel minimally invasive surgical proce¬
dures. Local and international telementoring of advanced laparoscopic operations
have been successful, providing the basis for future complete telesurgery. Tech¬
nical and legal concerns exist, but are surmountable. Telemedicine will ultimately
change postgraduate medical education, and may have an impact on the delivery
of novel minimally invasive surgical techniques.
Novel Tissue Destruction Methods 26
Matthew M. Hutter and David W. Rattner
Minimally invasive modalities of tissue destruction are being developed using
novel energy sources, such as high intensity focused ultrasound, interstitial laser
photocoagulation, microwave coagulation, radiofrequency ablation, and cryoab
lation. Multimodality treatments, combining these energy sources with advances
in imaging, laparoscopy, and endovascular technology, hold great promise for the
truly minimally invasive therapies of the future.
v
vi CONTENTS
Minimal Access Surgery in the Fetus 33
Roman M. Sydorak and Craig T. Albanese
Although open fetal surgery has treated a limited number of fetal malformations
successfully, its effectiveness is limited by the occurrence of preterm labor and
altered fetal homeostasis. These problems were the impetus for the development
of minimal access fetal surgery, a constellation of techniques that allow surgical
procedures to be performed inside the uterus without hysterotomy.
Hand Assisted Laparoscopic Surgery 45
John R. Romanelli and Demetrius E. M. Litwin
Although laparoscopic surgery has been widely embraced for operations such as
laparoscopic cholecystectomy, surgeons are less likely to perform complex la¬
paroscopic operations. A number of reasons for this can be explained including
lack of adequate training, lack of adequate surgical instrumentation, absence of
tactile feedback, fear of altering a malignancy s biologic potential, and reduced
perceptual/motor coordination as compared with that of conventional surgery.
Also, it may not be apparent at times to the surgeon that the potential improved
outcome is worth the time and effort expended. For all of these reasons, the in¬
troduction of the hand into the abdominal cavity during laparoscopic surgery may
be beneficial.
Current Knowledge Regarding the Biology of 52
Pneumoperitoneum Based Surgery
Chandrakanth Are and Mark A. Talamini
Laparoscopy has gained wide acceptance rapidly, making it difficult for surgeons
to keep abreast of the continual advances. Initially performed on healthy young
patients, the perceived advantages of laparoscopy included minimal trauma, bet¬
ter pain control, and improved cosmesis, as compared with open procedures. The
spectrum of indications widened rapidly, and soon elderly patients and ill patients
with sepsis also were being approached laparoscopically. With this came the re¬
alization that the advantages of the less invasive aspects of laparoscopic surgery
were accompanied by the yet unproven effects from the pathophysiology of the
induced pneumoperitoneum. Although most agree regarding advantages of min¬
imal access surgery, consensus is lacking on the consequences of the induced
pneumoperitoneum. Several of the laparoscopy related complications result from
pneumoperitoneum. Therefore, the title minimal access surgery may be more
appropriate than minimally invasive surgery. Relative contraindications and
some absolute contraindications to laparoscopic procedures have disappeared.
The threshold for performing laparoscopic surgery also has been lowered for sev¬
eral conditions, perhaps mostly because of a novel technique s availability. This
chapter elaborates on the spectrum of physiologic effects from pneumoperi¬
toneum used during laparoscopic surgery, which result from the combined effects
of pneumoperitoneum mechanics and the metabolic qualities of the gas used. Al¬
though alternative gases have been proposed, carbon dioxide remains the standard
gas of choice.
Detecting and Staging Malignancy 64
Mar go Shoup and Kevin C. Conlon
Laparoscopy has been used increasingly to stage upper gastrointestinal malig¬
nancies. This minimally invasive technique detects metastasis and small volume
peritoneal disease unappreciated by other imaging methods, thus avoiding
CONTENTS vii
unnecessary open exploration in a select group of patients. This report discusses
the role of laparoscopy in patients with esophageal. gastric, pancreatic, and hepa
tobiliary malignancies.
Laparoscopic Adrenalectomy 73
Herbert J. Zeh, III, and Robert Udelsman
Laparoscopic adrenalectomy shows how minimally invasive surgery, because of
its favorable effects on morbidity and costs, has replaced the conventional open
procedure. Laparoscopic adrenalectomy now is considered standard care for the
excision of most benign adrenal tumors. The most common indications for la¬
paroscopic adrenalectomy include aldosterone producing adenomas, pheochro
mocytoma, and glucocorticoid adenomas. Each of these tumors is unique, requir¬
ing a thorough understanding of the medical and surgical implications for the
delivery of high quality care. Laparoscopic adrenalectomy offers two approaches:
transperitoneal and retroperitoneal. The authors prefer the transperitoneal ap¬
proach because of its increased exposure and ability to visualize other intrapcri
toneal contents. A review of the current literature on laparoscopic adrenalectomy
supports the safety, efficacy, and improved outcomes for this procedure.
Laparoscopic Treatment of Colon Cancer: Where Are We, 82
and Where Are We going?
Tonia M. Young Fadok
Surgical resection is the only potential curative treatment modality for colorectal
cancer. However, laparotomy is associated with significant morbidity and moral¬
ity, and a long convalescence. After the introduction of laparoscopic techniques
that revolutionized cholecystectomy. it was natural that they should be applied to
colorectal operations. However, the technique met a unique set risks and benefits
in colorectal surgery, particularly colorectal cancer. This review discusses how
these risks and benefits became apparent, how they have been addressed so far,
and implications for the future.
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| series | Problems in general surgery |
| series2 | Problems in general surgery |
| spelling | Advances in minimally invasive surgery guest ed. Mark A. Talamini Philadelphia Lippincott Williams & Wilkins 2001 XIII, 98 S. Ill. txt rdacontent n rdamedia nc rdacarrier Problems in general surgery 18,1 Minimal-invasive Chirurgie (DE-588)4327907-7 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Minimal-invasive Chirurgie (DE-588)4327907-7 s DE-604 Talamini, Mark A. Sonstige oth Problems in general surgery 18,1 (DE-604)BV000010147 18,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009579689&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Advances in minimally invasive surgery Problems in general surgery Minimal-invasive Chirurgie (DE-588)4327907-7 gnd |
| subject_GND | (DE-588)4327907-7 (DE-588)4143413-4 |
| title | Advances in minimally invasive surgery |
| title_auth | Advances in minimally invasive surgery |
| title_exact_search | Advances in minimally invasive surgery |
| title_full | Advances in minimally invasive surgery guest ed. Mark A. Talamini |
| title_fullStr | Advances in minimally invasive surgery guest ed. Mark A. Talamini |
| title_full_unstemmed | Advances in minimally invasive surgery guest ed. Mark A. Talamini |
| title_short | Advances in minimally invasive surgery |
| title_sort | advances in minimally invasive surgery |
| topic | Minimal-invasive Chirurgie (DE-588)4327907-7 gnd |
| topic_facet | Minimal-invasive Chirurgie Aufsatzsammlung |
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