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Laparoscopic Advances in General Surgery
Leena Khaitan, MD;
Michael D. Holzman, MD,MPH
JAMA. 2002;287:1502-1505.
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INTRODUCTION
Originally described in 1901, laparoscopy was used by gynecologists as a surgical approach throughout most of the 20th century. Its applicability to general surgery was popularized in 1987 when laparoscopic cholecystectomy was first performed.1 Subsequently, minimal-access approaches have been used by general surgeons for multiple intra-abdominal operations because of perceived reductions in patient discomfort and disability, shorter hospital stays, and more rapid return to work.2 Now the term minimally invasive surgery encompasses several variations on the purely laparoscopic approach. This general term can mean several different things including a pure laparoscopic approach (all incisions  1 cm), a hand-assisted approach in which access large enough to accommodate the surgeon's hand is made to facilitate the procedure (largest incision, 6-8 cm), or a laparoscopic-assisted procedure, some of which is performed in the traditional open fashion (largest incision >4 cm). The approach used is based upon . . . [Full Text of this Article]
Who Is Qualified to Perform Minimally Invasive Procedures?
Who Is a Candidate for a Laparoscopic Procedure?
Gastroesophageal Reflux Disease
Hernia Repair
Colorectal Resection
Bariatric Surgery
On the Horizon
Conclusion
Author Affiliations: Department of Surgery, Vanderbilt University Medical Center, Nashville, Tenn.
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