The field of minimally invasive surgery became mainstream with the rapid adoption
of laparoscopic cholecystectomy. In 1998, however, the wave seems to have crested
with advanced laparoscopic procedures such as laparoscopic colectomy, splenectomy,
and herniorrhaphy performed by only a minority of general surgeons. There is a sense
that we have reached the technical limitations of what can be safely and economically
achieved through the laparoscope. Advances in imaging, energy delivery, optical technologies,
and genetics promise to render therapy in an even less-invasive fashion. New approaches
often depend on synergy from 2 complementary technologies and highlight the trend
toward multidisciplinary or multimodality therapy.
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Article info
Publication history
Accepted:
September 18,
1998
Footnotes
☆Surgery 1999;125:19-22.
☆☆Reprint requests: David W. Rattner, MD, Department of Surgery, Massachusetts General Hospital, Boston, MA 02114.
Identification
Copyright
© 1999 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
