Skip to main content
Erschienen in: Indian Journal of Surgery 3/2012

01.06.2012 | Review Article

Innovations in Endosurgery—Journey into the Past of the Future

To Ride the SILS Bandwagon or Not?

verfasst von: Brij B. Agarwal, Chintamani, Kamran Ali, Karan Goyal, Krishan C. Mahajan

Erschienen in: Indian Journal of Surgery | Ausgabe 3/2012

Einloggen, um Zugang zu erhalten

Abstract

Progress in surgical practice has paralleled the civilizational evolution. Surgery has progressed from being the last resort in saving life to being form and function preserver. Post-renaissance Industrial age gave an impetus to this march of surgery. The currently on going digital technological revolution has further catalysed this march. Having achieved the stabilized and acceptable clinical outcomes, the surgeon has embarked on a journey of improving patient reported outcomes (PRO). Improvement in PROs with the advent of laparoscopic surgery with the attendant emphasis on minimising invasion has led to debates about invasion being just parietal or holistic in physiological sense. There is a concern that parietal invasiveness shouldn’t be a trade-off for compromised clinical outcomes. Single Incision Laparoscopic Surgery (SILS) in its current avatar with current instrumentation seems to be an enthusiastic bandwagon rolling on with the cosmetic benefits acting as veil to hide the potential clinical concerns. History of surgical innovations is riddled with tales of vindictiveness and vicissitude. Lest the same fate befalls SILS we would do better to examine the SILS bandwagon in its current form till the emerging technologies address the current concerns.
Literatur
1.
Zurück zum Zitat Agarwal BB (2008) Journey of the carbon-literate and climate-conscious endosurgeon having a head, heart, hands, and holistic sense of responsibility. Surg Endosc 22:2539–2540PubMedCrossRef Agarwal BB (2008) Journey of the carbon-literate and climate-conscious endosurgeon having a head, heart, hands, and holistic sense of responsibility. Surg Endosc 22:2539–2540PubMedCrossRef
2.
Zurück zum Zitat Agarwal BB (2009) Informed consent—‘da Vinci code’ for our safety in empowered patient’s safety. Surg Endosc 23:1158–1160PubMedCrossRef Agarwal BB (2009) Informed consent—‘da Vinci code’ for our safety in empowered patient’s safety. Surg Endosc 23:1158–1160PubMedCrossRef
3.
Zurück zum Zitat Agarwal BB, Sarangi R, Mahajan KC (2010) Outcomes with thyroidectomy: what are they?—patient reported voice quality, not merely nerve preservation. Surg Endosc 24:735–737PubMedCrossRef Agarwal BB, Sarangi R, Mahajan KC (2010) Outcomes with thyroidectomy: what are they?—patient reported voice quality, not merely nerve preservation. Surg Endosc 24:735–737PubMedCrossRef
4.
Zurück zum Zitat Agarwal BB, Agarwal S (2009) Recurrent laryngeal nerve, phonation and voice preservation—energy devices in thyroid surgery—a note of caution. Langenbecks Arch Surg 394:911–912PubMedCrossRef Agarwal BB, Agarwal S (2009) Recurrent laryngeal nerve, phonation and voice preservation—energy devices in thyroid surgery—a note of caution. Langenbecks Arch Surg 394:911–912PubMedCrossRef
5.
Zurück zum Zitat Riskin DJ, Longaker MT, Gertner M, Krummel TM (2006) Innovation in surgery: a historical perspective. Ann Surg 244:686–693PubMedCrossRef Riskin DJ, Longaker MT, Gertner M, Krummel TM (2006) Innovation in surgery: a historical perspective. Ann Surg 244:686–693PubMedCrossRef
6.
Zurück zum Zitat Beger HG, Arbogast R (2006) The art of surgery in the 21st century: based on natural sciences and new ethical dimensions. Langebecks Arch Surg 391:143–148CrossRef Beger HG, Arbogast R (2006) The art of surgery in the 21st century: based on natural sciences and new ethical dimensions. Langebecks Arch Surg 391:143–148CrossRef
7.
Zurück zum Zitat Wexner SD (2009) Trials and tribulations in the history of surgical innovation: SAGES 2007 presidential address. Surg Endosc 23(6):1171–1179PubMedCrossRef Wexner SD (2009) Trials and tribulations in the history of surgical innovation: SAGES 2007 presidential address. Surg Endosc 23(6):1171–1179PubMedCrossRef
8.
Zurück zum Zitat Litynski GS (1998) Kurt Semm and the fight against scepticism: endoscopic hemostasis, laparoscopic appendectomy, and Semm’s impact on the “laparoscopic revolution”. JSLS 2:309–313PubMed Litynski GS (1998) Kurt Semm and the fight against scepticism: endoscopic hemostasis, laparoscopic appendectomy, and Semm’s impact on the “laparoscopic revolution”. JSLS 2:309–313PubMed
9.
Zurück zum Zitat Dumas A (1932) The History of Anaesthesia. J Natl Med Assoc 24:6–9PubMed Dumas A (1932) The History of Anaesthesia. J Natl Med Assoc 24:6–9PubMed
10.
11.
Zurück zum Zitat Satava RM (2008) Advanced technologies and the future of medicine and surgery. Yonsei Med J 49:873–878PubMedCrossRef Satava RM (2008) Advanced technologies and the future of medicine and surgery. Yonsei Med J 49:873–878PubMedCrossRef
12.
Zurück zum Zitat Agarwal BB (2010) Umbilicus, navel, belly button—vitruvian guide for esthetic cosmetics: a Da Vinci code for beautiful informed consent. Surg Endosc 24:236–238PubMedCrossRef Agarwal BB (2010) Umbilicus, navel, belly button—vitruvian guide for esthetic cosmetics: a Da Vinci code for beautiful informed consent. Surg Endosc 24:236–238PubMedCrossRef
13.
Zurück zum Zitat Beger HG, Rau BM (2006) Randomized controlled clinical trials support but not substitute of decision making in surgery. Langebecks Arch Surg 391:301–303CrossRef Beger HG, Rau BM (2006) Randomized controlled clinical trials support but not substitute of decision making in surgery. Langebecks Arch Surg 391:301–303CrossRef
14.
Zurück zum Zitat Agarwal BB (2009) Letter 3: randomized clinical trial of antibiotic therapy versus appendicectomy as primary treatment of acute appendicitis in unselected patients. Br J Surg 96:473–481CrossRef Agarwal BB (2009) Letter 3: randomized clinical trial of antibiotic therapy versus appendicectomy as primary treatment of acute appendicitis in unselected patients. Br J Surg 96:473–481CrossRef
15.
Zurück zum Zitat Agarwal BB, Mahajan KC (2010) Nomenclature of abbreviated acronyms (Naa…)—caveamus surgeones. Surg Endosc 24:724–725PubMedCrossRef Agarwal BB, Mahajan KC (2010) Nomenclature of abbreviated acronyms (Naa…)—caveamus surgeones. Surg Endosc 24:724–725PubMedCrossRef
18.
Zurück zum Zitat Weizman D, Cyriac J, Urbach DR (2007) What is meant when a laparoscopic surgical procedure is described as “safe”? Surg Endosc 21:1369–1372PubMedCrossRef Weizman D, Cyriac J, Urbach DR (2007) What is meant when a laparoscopic surgical procedure is described as “safe”? Surg Endosc 21:1369–1372PubMedCrossRef
19.
20.
Zurück zum Zitat Pescatori M (2011) STARR and the older surgeon: what makes the difference? Int J Colorectal Dis 26:1497–1498PubMedCrossRef Pescatori M (2011) STARR and the older surgeon: what makes the difference? Int J Colorectal Dis 26:1497–1498PubMedCrossRef
21.
Zurück zum Zitat Angelos P (2009) Complications, errors, and surgical ethics. World Journal of Surgery 33:609–611PubMedCrossRef Angelos P (2009) Complications, errors, and surgical ethics. World Journal of Surgery 33:609–611PubMedCrossRef
22.
Zurück zum Zitat Rikkers LF (2022) The bandwagon effect. J Gastrointest Surg 6:787–94CrossRef Rikkers LF (2022) The bandwagon effect. J Gastrointest Surg 6:787–94CrossRef
23.
Zurück zum Zitat Cuschieri A (2006) Nature of human error: implications for surgical practice. Ann Surg 244:642–648PubMedCrossRef Cuschieri A (2006) Nature of human error: implications for surgical practice. Ann Surg 244:642–648PubMedCrossRef
25.
Zurück zum Zitat Regenbogen SE, Greenberg CC, Studdert DM, Lipsitz SR, Zinner MJ, Gawande AA (2007) Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. Ann Surg 246:705–711PubMedCrossRef Regenbogen SE, Greenberg CC, Studdert DM, Lipsitz SR, Zinner MJ, Gawande AA (2007) Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. Ann Surg 246:705–711PubMedCrossRef
27.
28.
Zurück zum Zitat Millat B, Fingerhut A, Cuschieri A (2006) Live surgery and video presentations: seeing is believing … but no more: a plea for structured rigor and ethical considerations. Surg Endosc 20:845–847PubMedCrossRef Millat B, Fingerhut A, Cuschieri A (2006) Live surgery and video presentations: seeing is believing … but no more: a plea for structured rigor and ethical considerations. Surg Endosc 20:845–847PubMedCrossRef
29.
Zurück zum Zitat Eypasch E, Lefering R, Kum CK, Troidl H (1995) Probability of adverse events that have not yet occurred: a statistical reminder. BMJ 311:619–620PubMedCrossRef Eypasch E, Lefering R, Kum CK, Troidl H (1995) Probability of adverse events that have not yet occurred: a statistical reminder. BMJ 311:619–620PubMedCrossRef
31.
Zurück zum Zitat Agarwal BB, Gupta M, Agarwal S, Mahajan KC (2007) Laparoscopic cholecystectomy without using any energy source. J Laparoendosc Adv Surg Tech A 17:296–301PubMedCrossRef Agarwal BB, Gupta M, Agarwal S, Mahajan KC (2007) Laparoscopic cholecystectomy without using any energy source. J Laparoendosc Adv Surg Tech A 17:296–301PubMedCrossRef
32.
Zurück zum Zitat Agarwal BB, Gupta M, Agarwal S, Mahajan KC (2007) Anatomical footprint for safe laparoscopic cholecystectomy without using any energy source: a modified technique. Surg Endosc 21:2154–2158PubMedCrossRef Agarwal BB, Gupta M, Agarwal S, Mahajan KC (2007) Anatomical footprint for safe laparoscopic cholecystectomy without using any energy source: a modified technique. Surg Endosc 21:2154–2158PubMedCrossRef
35.
Zurück zum Zitat Ubel PA, Jepson C, Silver-Isenstadt A (2003) Don’t ask, don’t tell: a change in medical student attitudes after obstetrics/gynecology clerkships toward seeking consent for pelvic examinations on an anesthetized patient. Am J Obstet Gynecol 188:575–579PubMedCrossRef Ubel PA, Jepson C, Silver-Isenstadt A (2003) Don’t ask, don’t tell: a change in medical student attitudes after obstetrics/gynecology clerkships toward seeking consent for pelvic examinations on an anesthetized patient. Am J Obstet Gynecol 188:575–579PubMedCrossRef
36.
Zurück zum Zitat Satava RM (2002) The bio-intelligence age: surgery after the information age. Journal of Gastrointestinal Surgery 6:795–799PubMedCrossRef Satava RM (2002) The bio-intelligence age: surgery after the information age. Journal of Gastrointestinal Surgery 6:795–799PubMedCrossRef
37.
Zurück zum Zitat Sugimoto M (2010) Recent advances in visualization, imaging, and navigation in hepatobiliary and pancreatic sciences. J Hepatobiliary Pancreat Sci 17:574–576PubMedCrossRef Sugimoto M (2010) Recent advances in visualization, imaging, and navigation in hepatobiliary and pancreatic sciences. J Hepatobiliary Pancreat Sci 17:574–576PubMedCrossRef
38.
Zurück zum Zitat Curet MJ (2010) Shame on them. Single-incision laparoscopic surgery: are we doomed to repeat the mistakes of the past?: comment on “Single-incision laparoscopic surgery for cholecystectomy”. Arch Surg 145:1191–1192PubMedCrossRef Curet MJ (2010) Shame on them. Single-incision laparoscopic surgery: are we doomed to repeat the mistakes of the past?: comment on “Single-incision laparoscopic surgery for cholecystectomy”. Arch Surg 145:1191–1192PubMedCrossRef
39.
Zurück zum Zitat Boni L, Dionigi G, Rovera F (2009) Natural orifices transluminal endoscopic surgery (NOTES) and other allied “ultra” minimally invasive procedures: are we loosing the plot? Surg Endosc 23:927–929PubMedCrossRef Boni L, Dionigi G, Rovera F (2009) Natural orifices transluminal endoscopic surgery (NOTES) and other allied “ultra” minimally invasive procedures: are we loosing the plot? Surg Endosc 23:927–929PubMedCrossRef
40.
Zurück zum Zitat Agarwal BB, Agarwal S (2008) Surgical pilgrimage—the need to avoid navigation through drains, medicine or ‘medisin’: our notes on NOTES. Surg Endosc 22:271–272PubMedCrossRef Agarwal BB, Agarwal S (2008) Surgical pilgrimage—the need to avoid navigation through drains, medicine or ‘medisin’: our notes on NOTES. Surg Endosc 22:271–272PubMedCrossRef
41.
Zurück zum Zitat Bencsath KP, Falk G, Morris-Stiff G, Kroh M, Walsh RM, Chalikonda S (2011) Single-incision laparoscopic cholecystectomy: do patients care? J Gastrointest Surg 29 Bencsath KP, Falk G, Morris-Stiff G, Kroh M, Walsh RM, Chalikonda S (2011) Single-incision laparoscopic cholecystectomy: do patients care? J Gastrointest Surg 29
42.
Zurück zum Zitat Agarwal BB, Agarwal S (2007) The man–machine interface, a paradox of technology. Is the black box (BB) concept an angel or a demon? Surg Endosc 21:1680PubMedCrossRef Agarwal BB, Agarwal S (2007) The man–machine interface, a paradox of technology. Is the black box (BB) concept an angel or a demon? Surg Endosc 21:1680PubMedCrossRef
43.
Zurück zum Zitat Cheerleader or watchdog? [No authors listed] Nature 2009 25;459:1033 Cheerleader or watchdog? [No authors listed] Nature 2009 25;459:1033
44.
Zurück zum Zitat Ergina PL, Cook JA, Blazeby JM et al (2009) Challenges in evaluating surgical innovation. J Lancet 374:1097–1104CrossRef Ergina PL, Cook JA, Blazeby JM et al (2009) Challenges in evaluating surgical innovation. J Lancet 374:1097–1104CrossRef
45.
Zurück zum Zitat Agarwal BB, Chintamani C (2011) Reminder of the metrics of endosurgical innovation. Arch Surg 146:1108PubMedCrossRef Agarwal BB, Chintamani C (2011) Reminder of the metrics of endosurgical innovation. Arch Surg 146:1108PubMedCrossRef
46.
Zurück zum Zitat Blazeby JM, Avery K, Sprangers M, Pikhart H, Fayers P, Donovan J (2006) Health-related quality of life measurement in randomized clinical trials in surgical oncology. J Clin Oncol 24:3178–3186PubMedCrossRef Blazeby JM, Avery K, Sprangers M, Pikhart H, Fayers P, Donovan J (2006) Health-related quality of life measurement in randomized clinical trials in surgical oncology. J Clin Oncol 24:3178–3186PubMedCrossRef
47.
Zurück zum Zitat (1991) A prospective analysis of 1518 laparoscopic cholecystectomies. The Southern Surgeons Club. [No authors listed]. N Engl J Med 324:1073–1078 (1991) A prospective analysis of 1518 laparoscopic cholecystectomies. The Southern Surgeons Club. [No authors listed]. N Engl J Med 324:1073–1078
48.
Zurück zum Zitat Barone JE, Lincer RM (1991) Correction: a prospective analysis of 1518 laparoscopic cholecystectomies. N Engl J Med 325:1517–1518PubMed Barone JE, Lincer RM (1991) Correction: a prospective analysis of 1518 laparoscopic cholecystectomies. N Engl J Med 325:1517–1518PubMed
49.
50.
Zurück zum Zitat Slater K, Strong RW, Wall DR, Lynch SV (2002) Iatrogenic bile duct injury: the scourge of laparoscopic cholecystectomy. ANZ J Surg 72:83–88PubMedCrossRef Slater K, Strong RW, Wall DR, Lynch SV (2002) Iatrogenic bile duct injury: the scourge of laparoscopic cholecystectomy. ANZ J Surg 72:83–88PubMedCrossRef
51.
Zurück zum Zitat Walker T (2008) Biliary injury after laparoscopic cholecystectomy: why still a problem? Gastroentrology 134:894–895CrossRef Walker T (2008) Biliary injury after laparoscopic cholecystectomy: why still a problem? Gastroentrology 134:894–895CrossRef
52.
Zurück zum Zitat Maschuw K, Osei-Agyemang T, Weyers P et al (2008) The impact of self-belief on laparoscopic performance of novices and experienced surgeons. World J Surg 32:1911–1916PubMedCrossRef Maschuw K, Osei-Agyemang T, Weyers P et al (2008) The impact of self-belief on laparoscopic performance of novices and experienced surgeons. World J Surg 32:1911–1916PubMedCrossRef
53.
Zurück zum Zitat Strasberg SM, Gouma DJ (2012) ‘Extreme’ vasculobiliary injuries: association with fundus-down cholecystectomy in severely inflamed gallbladders. HPB (Oxford) 14:1–8CrossRef Strasberg SM, Gouma DJ (2012) ‘Extreme’ vasculobiliary injuries: association with fundus-down cholecystectomy in severely inflamed gallbladders. HPB (Oxford) 14:1–8CrossRef
54.
Zurück zum Zitat Buell JF, Cronin DC, Funaki B et al (2002) Devastating and fatal complications associated with combined vascular and bile duct injuries during cholecystectomy. Arch Surg 137:703–8, discussion 708–10PubMedCrossRef Buell JF, Cronin DC, Funaki B et al (2002) Devastating and fatal complications associated with combined vascular and bile duct injuries during cholecystectomy. Arch Surg 137:703–8, discussion 708–10PubMedCrossRef
55.
Zurück zum Zitat Dekker SW, Hugh TB (2008) Laparoscopic bile duct injury: understanding the psychology and heuristics of the error. ANZ J Surg 78:1109–1114PubMedCrossRef Dekker SW, Hugh TB (2008) Laparoscopic bile duct injury: understanding the psychology and heuristics of the error. ANZ J Surg 78:1109–1114PubMedCrossRef
56.
Zurück zum Zitat Lau KN, Sindram D, Agee N, Martinie JB, Iannitti DA (2010) Bile duct injury after single incision laparoscopic cholecystectomy. JSLS 14:587–591PubMedCrossRef Lau KN, Sindram D, Agee N, Martinie JB, Iannitti DA (2010) Bile duct injury after single incision laparoscopic cholecystectomy. JSLS 14:587–591PubMedCrossRef
57.
Zurück zum Zitat Vollmer CM Jr, Callery MP (2007) Biliary injury following laparoscopic cholecystectomy: why still a problem? Gastroenterology 133:1039–1041PubMedCrossRef Vollmer CM Jr, Callery MP (2007) Biliary injury following laparoscopic cholecystectomy: why still a problem? Gastroenterology 133:1039–1041PubMedCrossRef
58.
Zurück zum Zitat Flum DR, Koepsell T, Heagerty P, Sinanan M, Dellinger EP (2001) Common bile duct injury during laparoscopic cholecystectomy and the use of intraoperative cholangiography: adverse outcome or preventable error? Arch Surg 136:1287–1292PubMedCrossRef Flum DR, Koepsell T, Heagerty P, Sinanan M, Dellinger EP (2001) Common bile duct injury during laparoscopic cholecystectomy and the use of intraoperative cholangiography: adverse outcome or preventable error? Arch Surg 136:1287–1292PubMedCrossRef
59.
Zurück zum Zitat Agarwal BB, Mahajan KC (2010) Laparoscopic biliary tract injury prevention: zero tolerance, error free performance. Surg Endosc 24:728–729PubMedCrossRef Agarwal BB, Mahajan KC (2010) Laparoscopic biliary tract injury prevention: zero tolerance, error free performance. Surg Endosc 24:728–729PubMedCrossRef
60.
Zurück zum Zitat Fry DE, Pine M, Jones BL, Meimban RJ (2010) Patient characteristics and the occurrence of never events. Arch Surg 145:148–151PubMedCrossRef Fry DE, Pine M, Jones BL, Meimban RJ (2010) Patient characteristics and the occurrence of never events. Arch Surg 145:148–151PubMedCrossRef
61.
Zurück zum Zitat Thompson KM, Oldenburg WA, Deschamps WA, Rupp WC, Smitth CD (2011) Chasing zero: the drive to eliminate surgical site infections. Ann Surg 254:430–7PubMedCrossRef Thompson KM, Oldenburg WA, Deschamps WA, Rupp WC, Smitth CD (2011) Chasing zero: the drive to eliminate surgical site infections. Ann Surg 254:430–7PubMedCrossRef
62.
Zurück zum Zitat Cuschieri A (2004) Surgical errors and their prevention. Surg Endosc 19:1013CrossRef Cuschieri A (2004) Surgical errors and their prevention. Surg Endosc 19:1013CrossRef
63.
Zurück zum Zitat Agarwal BB, Agarwal S, Gupta M, Mahajan K (2008) Transaxillary endoscopic excision of benign breast lumps: a new technique. Surg Endosc 22:407–410PubMedCrossRef Agarwal BB, Agarwal S, Gupta M, Mahajan K (2008) Transaxillary endoscopic excision of benign breast lumps: a new technique. Surg Endosc 22:407–410PubMedCrossRef
64.
Zurück zum Zitat Lee PC, Lo C, Lai PS, Chang JJ, Huang SJ, Lin MT et al (2010) Randomized clinical trial of single-incision laparoscopic cholecystectomy versus mini laparoscopic cholecystectomy. Br J Surg 97:1007–1012PubMedCrossRef Lee PC, Lo C, Lai PS, Chang JJ, Huang SJ, Lin MT et al (2010) Randomized clinical trial of single-incision laparoscopic cholecystectomy versus mini laparoscopic cholecystectomy. Br J Surg 97:1007–1012PubMedCrossRef
65.
Zurück zum Zitat Tsimoyiannis EC, Tsimogiannis KE, Pappas-Gogos G, Farantos C, Benetatos N, Mavridou P et al (2010) Different pain scores in single transumbilical incision laparoscopic cholecystectomy versus classic laparoscopic cholecystectomy: a randomized controlled trial. Surg Endosc 24:1842–1848PubMedCrossRef Tsimoyiannis EC, Tsimogiannis KE, Pappas-Gogos G, Farantos C, Benetatos N, Mavridou P et al (2010) Different pain scores in single transumbilical incision laparoscopic cholecystectomy versus classic laparoscopic cholecystectomy: a randomized controlled trial. Surg Endosc 24:1842–1848PubMedCrossRef
66.
Zurück zum Zitat Marks J, Tacchino R, Roberts K, Onders R, Denoto G, Paraskeva P et al (2011) Prospective randomized controlled trial of traditional laparoscopic cholecystectomy versus single-incision laparoscopic cholecystectomy: report of preliminary data. Am J Surg 201:369–373PubMedCrossRef Marks J, Tacchino R, Roberts K, Onders R, Denoto G, Paraskeva P et al (2011) Prospective randomized controlled trial of traditional laparoscopic cholecystectomy versus single-incision laparoscopic cholecystectomy: report of preliminary data. Am J Surg 201:369–373PubMedCrossRef
67.
Zurück zum Zitat Bucher P, Pugin F, Buchs NC, Ostermann S, Morel P (2011) Randomized clinical trial of laparoendoscopic single site versus conventional laparoscopic cholecystectomy. Br J Surg 98:1695–1702PubMedCrossRef Bucher P, Pugin F, Buchs NC, Ostermann S, Morel P (2011) Randomized clinical trial of laparoendoscopic single site versus conventional laparoscopic cholecystectomy. Br J Surg 98:1695–1702PubMedCrossRef
68.
Zurück zum Zitat Connor S (2009) Single-port-access cholecystectomy: history should not be allowed to repeat. World J Surg 33:1020–1021PubMedCrossRef Connor S (2009) Single-port-access cholecystectomy: history should not be allowed to repeat. World J Surg 33:1020–1021PubMedCrossRef
69.
Zurück zum Zitat Ma J, Cassera MA, Spaun GO, Hammill CW, Hansen PD, Aliabadi-Wahle S (2011) Randomized controlled trial comparing single-port laparoscopic cholecystectomy and four-port laparoscopic cholecystectomy. Ann Surg 254:22–27PubMedCrossRef Ma J, Cassera MA, Spaun GO, Hammill CW, Hansen PD, Aliabadi-Wahle S (2011) Randomized controlled trial comparing single-port laparoscopic cholecystectomy and four-port laparoscopic cholecystectomy. Ann Surg 254:22–27PubMedCrossRef
70.
Zurück zum Zitat Bignell M, Hindmarsh A, Nageswaran H, Mothe B, Jenkinson A, Mahon D, Rhodes M (2011) Assessment of cosmetic outcome after laparoscopic cholecystectomy among women 4 years after laparoscopic cholecystectomy: is there a problem? Surg Endosc 25:2574–2577PubMedCrossRef Bignell M, Hindmarsh A, Nageswaran H, Mothe B, Jenkinson A, Mahon D, Rhodes M (2011) Assessment of cosmetic outcome after laparoscopic cholecystectomy among women 4 years after laparoscopic cholecystectomy: is there a problem? Surg Endosc 25:2574–2577PubMedCrossRef
71.
Zurück zum Zitat Bencsath KP, Falk G, Morris-Stiff G, Kroh M, Walsh RM, Chalikonda S (2012) Single-incision laparoscopic cholecystectomy: do patients care? J Gastrointest Surg 16(3):535–539 Bencsath KP, Falk G, Morris-Stiff G, Kroh M, Walsh RM, Chalikonda S (2012) Single-incision laparoscopic cholecystectomy: do patients care? J Gastrointest Surg 16(3):535–539
72.
Zurück zum Zitat Fischer L, Deckert A, Diener MK, Zimmermann JB, Büchler MW, Seiler CM (2011) Ranking of patient and surgeons’ perspectives for endpoints in randomized controlled trials—lessons learned from the POVATI trial [ISRCTN 60734227]. Langenbecks Arch Surg 396:1061–1066PubMedCrossRef Fischer L, Deckert A, Diener MK, Zimmermann JB, Büchler MW, Seiler CM (2011) Ranking of patient and surgeons’ perspectives for endpoints in randomized controlled trials—lessons learned from the POVATI trial [ISRCTN 60734227]. Langenbecks Arch Surg 396:1061–1066PubMedCrossRef
73.
Zurück zum Zitat Lamadé W, Friedrich C, Ulmer C, Basar T, Weiss H, Thon KP (2011) Impact of body image on patients’ attitude towards conventional, minimal invasive, and natural orifice surgery. Langenbecks Arch Surg 396:331–336PubMedCrossRef Lamadé W, Friedrich C, Ulmer C, Basar T, Weiss H, Thon KP (2011) Impact of body image on patients’ attitude towards conventional, minimal invasive, and natural orifice surgery. Langenbecks Arch Surg 396:331–336PubMedCrossRef
74.
Zurück zum Zitat Iranmanesh P, Morel P, Inan I, Hagen M (2011) Choosing the cosmetically superior laparoscopic access to the abdomen: the importance of the umbilicus. Surg Endosc 25:2578–2585PubMedCrossRef Iranmanesh P, Morel P, Inan I, Hagen M (2011) Choosing the cosmetically superior laparoscopic access to the abdomen: the importance of the umbilicus. Surg Endosc 25:2578–2585PubMedCrossRef
76.
Zurück zum Zitat Ioannidis JP (2005) Contradicted and initially stronger effects in highly cited clinical research. JAMA 294:218–228PubMedCrossRef Ioannidis JP (2005) Contradicted and initially stronger effects in highly cited clinical research. JAMA 294:218–228PubMedCrossRef
78.
Zurück zum Zitat Colhoun HM, McKeigue PM, Davey Smith G (2003) Problems of reporting genetic associations with complex outcomes. Lancet 361:865–867PubMedCrossRef Colhoun HM, McKeigue PM, Davey Smith G (2003) Problems of reporting genetic associations with complex outcomes. Lancet 361:865–867PubMedCrossRef
80.
Zurück zum Zitat Hey J, Roberts KJ, Morris-Stiff GJ, Toogood GJ (2012) Patient views through the keyhole: new perspectives on single-incision vs.multiport laparoscopic cholecystectomy. HPB (Oxford) 14:242–246 Hey J, Roberts KJ, Morris-Stiff GJ, Toogood GJ (2012) Patient views through the keyhole: new perspectives on single-incision vs.multiport laparoscopic cholecystectomy. HPB (Oxford) 14:242–246
Metadaten
Titel
Innovations in Endosurgery—Journey into the Past of the Future
To Ride the SILS Bandwagon or Not?
verfasst von
Brij B. Agarwal
Chintamani
Kamran Ali
Karan Goyal
Krishan C. Mahajan
Publikationsdatum
01.06.2012
Verlag
Springer-Verlag
Erschienen in
Indian Journal of Surgery / Ausgabe 3/2012
Print ISSN: 0972-2068
Elektronische ISSN: 0973-9793
DOI
https://doi.org/10.1007/s12262-012-0583-8

Weitere Artikel der Ausgabe 3/2012

Indian Journal of Surgery 3/2012 Zur Ausgabe

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare
CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.