A SAGES technology and value assessment and pediatric committee evaluation of mini-laparoscopic instrumentation.
Surg Endosc
; 36(10): 7077-7091, 2022 Oct.
Article
in En
| MEDLINE
| ID: mdl-35986221
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.Key words
Full text:
1
Collection:
01-internacional
Health context:
1_ASSA2030
Database:
MEDLINE
Main subject:
Laparoscopy
Limits:
Adult
/
Child
/
Humans
Language:
En
Journal:
Surg Endosc
Year:
2022
Document type:
Article