Abstract:

Laparoscopy using miniature (2–3.5 mm) instruments was introduced in the late 1980s and early 1990s. Though mini laparoscopy (Mini) created new opportunities for surgical diagnosis and therapy, the limitations of early instruments inhibited widespread adoption. This is no longer the case. Mini is enjoying a renaissance, due to several factors: the maturation of minimally invasive surgery (MIS), the failure of laparoendoscopic single-site surgery (LESS) and natural orifice transluminal endoscopic surgery (NOTES) platforms to achieve early expectations, and the recent significant improvements in Mini instrument functionality and durability. As a result, Mini is being increasingly applied to pediatric and adult procedures across specialties. To assess the current status of Mini laparoscopy, the Society of Laparoendoscopic Surgeons (SLS) and the Florida Hospital Nicholson Center convened an international symposium in February 2015. This report shares highlights from that symposium, “Big Operations Using Mini Instruments.”

Authors:

Jay A. Redan, MD, FACS, Medical Director, Minimally Invasive General Surgery, Florida Hospital Celebration Health, Celebration, Florida, Professor of Surgery, University of Central Florida College of Medicine, Orlando, Florida, , Ashley-Rose Humphries, BA, Medical Student, University of Central Florida College of Medicine, Orlando, Florida, , Brianne Farmer, MS, Medical Student, University of Central Florida College of Medicine, Orlando, Florida, , Eduardo Moreno Paquentin, MD, FACS, Associate Professor of Surgery, Centro Medico ABC Santa Fe, Mexico City, Mexico, , Charles H. Koh, MD, FRCOG, FACOG, Attending Staff, Columbia Hospital, St. Mary's Hospital, Milwaukee, WI, Attending Staff, Mount Alvernia Hospital, Queen Elizabeth Hospital, Singapore, , Dr. Maurice K. Chung, RPh, MD, FACOG, FPMRS, FACS, ACGE., Clinical Professor, Department of Obstetrics and Gynecology , University of Toledo School of Medicine, Toledo, Ohio, Chairman, Department of Surgery, Lima Memorial Hospital, Lima, Ohio, Gustavo Stringel, MD, MBA, Professor of Surgery and Pediatrics, New York Medical College, Surgeon in Chief, Maria Fareri Children’s Hospital, Valhalla, New York, , Steven D. McCarus, MD, FACOG, Assistant Professor, Department of Obstetrics and Gynecology, University of Central Florida, Chief Division of Gynecologic Surgery, Florida Hospital Celebration Health, Orlando, Florida, , Gustavo Carvalho, MD, PhD, MSc, MBA, Associate Professor of Surgery, University of Pernambuco, Attending Surgeon, Department of Surgery, Hospital Universitário Oswaldo Cruz, Recife, Brazil, , Roberto Gallardo Diaz, MD, Staff Surgeon, Sanatorio El Pilar in Guatemala City, Head , Mini Invasive Surgical Group of Guatemala, Guatemala City, Guatemala, , Phillip P. Shadduck, MD, FACS, Assistant Consulting Professor of Surgery, Duke University, Vice Chair of Surgery, Duke Regional Hospital, Chief of General Surgery, TOA Surgical Specialists, Vice Chief of Staff, North Carolina Specialty Hospital, Durham, North Carolina

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