Thom E Lobe1,2, Lucian Panait3, Giovanni Dapri4, Peter M Denk5, David Pechman6, Luca Milone7, Stefan Scholz8, Bethany J Slater9. 1. Department of Surgery, The University of Illinois at Chicago, Chicago, IL, USA. tlobe@uic.edu. 2. Division of Pediatric Surgery, The University of Illinois at Chicago, 848 S Wood Street, Ste 406, Chicago, IL, 60612, USA. tlobe@uic.edu. 3. Minnesota Hernia Center, Edina, MN, USA. 4. International School Reduced Scar Laparoscopy, Minimally Invasive General & Oncologic Surgery Center, Humanitas Gavazzeni University Hospital, Bergamo, Italy. 5. GI Surgical Specialists, Fort Myers, FL, USA. 6. Department of Surgery, South Shore University Hospital, Bay Shore, NY, USA. 7. Department of Surgery, Icahn School of Medicine at Mount Sinai, Brooklyn Medical Center, Brooklyn, NY, USA. 8. Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA. 9. Department of Surgery, The University of Chicago, Chicago, IL, USA.
Abstract
BACKGROUND: The TAVAC and Pediatric Committees of SAGES evaluated the current use of mini-laparoscopic instrumentation to better understand the role this category of devices plays in the delivery of minimally invasive surgery today. METHODS: The role of mini-laparoscopic instrumentation, defined as minimally invasive instruments of between 1 and 4 mm in diameter, was assessed by an exhaustive review of the peer reviewed literature on the subject between 1990 and 2021. The instruments, their use, and their perceived value were tabulated and described. RESULTS: Several reported studies propose a value to using mini-laparoscopic instrumentation over the use of larger instruments or as minimally invasive additions to commonly performed procedures. Additionally, specifically developed smaller-diameter instruments appear to be beneficial additions to our minimally invasive toolbox. CONCLUSIONS: The development of small instrumentation for the effective performance of minimally invasive surgery, while perhaps best suited to pediatric populations, proves useful as adjuncts to a wide variety of adult surgical procedures. Mini-laparoscopic instrumentation thus proves valuable in selected cases.
BACKGROUND: The TAVAC and Pediatric Committees of SAGES evaluated the current use of mini-laparoscopic instrumentation to better understand the role this category of devices plays in the delivery of minimally invasive surgery today. METHODS: The role of mini-laparoscopic instrumentation, defined as minimally invasive instruments of between 1 and 4 mm in diameter, was assessed by an exhaustive review of the peer reviewed literature on the subject between 1990 and 2021. The instruments, their use, and their perceived value were tabulated and described. RESULTS: Several reported studies propose a value to using mini-laparoscopic instrumentation over the use of larger instruments or as minimally invasive additions to commonly performed procedures. Additionally, specifically developed smaller-diameter instruments appear to be beneficial additions to our minimally invasive toolbox. CONCLUSIONS: The development of small instrumentation for the effective performance of minimally invasive surgery, while perhaps best suited to pediatric populations, proves useful as adjuncts to a wide variety of adult surgical procedures. Mini-laparoscopic instrumentation thus proves valuable in selected cases.
Authors: Yuri W Novitsky; Kent W Kercher; Donald R Czerniach; Gordie K Kaban; Samira Khera; Karen A Gallagher-Dorval; Mark P Callery; Demetrius E M Litwin; John J Kelly Journal: Arch Surg Date: 2005-12
Authors: W G Ainslie; J A Catton; D Davides; S Dexter; J Gibson; M Larvin; M J McMahon; M Moore; S Smith; A Vezakis Journal: Surg Endosc Date: 2003-03-07 Impact factor: 4.584