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      • Record: found
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      Minimally invasive single-site surgery for the digestive system: A technological review

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Minimally Invasive Single Site (MISS) surgery is a better terminology to explain the novel concept of scarless surgery, which is increasingly making its way into clinical practice. But, there are some difficulties. We review the existing technologies for MISS surgery with regards to single-port devices, endoscope and camera, instruments, retractors and also the future perspectives for the evolution of MISS surgery. While we need to move ahead cautiously and wait for the development of appropriate technology, we believe that the “Ultimate form of Minimally Invasive Surgery” will be a hybrid form of MISS surgery and Natural Orifice Transluminal Endoscopic Surgery, complimented by technological innovations from the fields of robotics and computer-assisted surgery.

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          Transatlantic robot-assisted telesurgery.

          D. Mutter, M Gagner, J. Marescaux … (2001)
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            One-wound laparoscopic cholecystectomy.

            P Carcoforo, I Donini, E Dalla Pozza … (1997)
            Article 0 comments Cited 126 times – based on 0 reviews     Review now
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              Surgery without scars: report of transluminal cholecystectomy in a human being.

              Jacques Marescaux, Didier Mutter, Silvana Perretta … (2007)
              Natural orifice transluminal endoscopic surgery (NOTES) provides the potential for performance of incisionless operations. This would break the physical barrier between bodily trauma and surgery, representing an epical revolution in surgery. Our group at IRCAD-EITS (Institut de Recherche contre les Cancers de l'Appareil Digestif [Institute of Digestive Cancer Research]-European Institute of TeleSurgery) has been actively involved in the development of NOTES since 2004 with a dedicated project created to develop feasibility and survival studies and new endoscopic technology. NOTES cholecystectomy in a woman via a transvaginal approach. University hospital. Patient The patient was a 30-year-old woman with symptomatic cholelithiasis. The procedure was carried out by a multidisciplinary team using a standard double-channel flexible videogastroscope and standard endoscopic instruments. The placement of a 2-mm needle port, mandatory to insufflate carbon dioxide and to monitor the pneumoperitoneum, was helpful for further retraction of the gallbladder. At no stage of the procedure was there need for laparoscopic assistance. All of the principles of cholecystectomy were strictly adhered to. The postoperative course was uneventful. The patient had no postoperative pain and no scars, and was discharged on the second postoperative day. Transluminal surgery is feasible and safe. NOTES, a radical shift in the practice and philosophy of interventional treatment, is becoming established and is enormously advantageous to the patient. With its invisible mending and tremendous potential, NOTES might be the next surgical evolution.
              Article 0 comments Cited 82 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Minim Access Surg
                Journal ID (publisher-id): JMAS
                Title: Journal of Minimal Access Surgery
                Publisher: Medknow Publications (India )
                ISSN (Print): 0972-9941
                ISSN (Electronic): 1998-3921
                Publication date (Print): Jan-Mar 2011
                Volume: 7
                Issue: 1
                Pages: 40-51
                Affiliations
                IRCAD/EITS, Hôpitaux Universitaires, 1 Place de l’Hôpital, 67091 Strasbourg Cedex, France
                Author notes
                Address for correspondence: Dr. Joel Leroy, IRCAD/EITS, Hôpitaux Universitaires, 1 Place de l’Hôpital, 67091 Strasbourg Cedex, France. E-mail: joel.leroy@ 123456ircad.u-strasbg.fr
                Article
                Publisher ID: JMAS-7-40
                DOI: 10.4103/0972-9941.72381
                PMC ID: 3002006
                PubMed ID: 21197242
                SO-VID: 27215312-220a-4828-ae3b-e54b3690e924
                Copyright © © Journal of Minimal Access Surgery
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 19 July 2010
                Date accepted : 02 August 2010
                Categories
                Subject: GI Surgery

                ScienceOpen disciplines: Surgery
                Keywords: surgical technology,single-incision laparoscopic surgery,single port access,minimally invasive single site surgery,laparoendoscopic single site surgery
                Data availability:
                ScienceOpen disciplines: Surgery
                Keywords: surgical technology, single-incision laparoscopic surgery, single port access, minimally invasive single site surgery, laparoendoscopic single site surgery

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