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.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Surgery
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- High intensity focused ultrasound—potential for cancer treatment.Br J Radiol. 1995; 68: 1296-1303
- Ultraviolet laser-induced fluorescence of colonic polyps.Gastroenterology. 1992; 102: 1155-1160
- In vivo endoscopic optical biopsy with optical coherence tomography.Science. 1997; 276: 2037-2039
- Laser-induced fluorescence for esophageal cancer and dysplasia diagnosis.Ann N Y Acad Sci. 1998; 838: 116-122
- Laparoscopic pylorus preserving pancreaticoduodenectomy.Surg Endosc. 1994; 8: 408-410
- Tumor growth after laparoscopy and laparotomy in a murine model.Arch Surg. 1995; 130: 649-653
- Ultrasound triggered transgene expression in the human prostate cancer cell line: LnCnP.Cancer Gene Ther. 1997; 4 ([abstract]): S30
- A novel gene vector induced by heat shock, chemotherapy and radiation.Cancer Gene Ther. 1997; 4 ([abstract]): S28
Accepted: September 18, 1998
☆☆Reprint requests: David W. Rattner, MD, Department of Surgery, Massachusetts General Hospital, Boston, MA 02114.
© 1999 Mosby, Inc. Published by Elsevier Inc. All rights reserved.