Endoscopic Approach

The increasing use of the laparoscopic approach in colorectal surgery depends not only on the indications but also on technological development. Better visualization of the operative field is available using a three-chip camera or three-dimensional system. Alternative port positionings together with curved instruments increase the degree of freedom during operation. Complex laparoscopic procedures need highly specific instruments. We have developed atraumatic bowel graspers, different types of retractors, and innovative combination instruments. OREST II, a new multipurpose system that assists the organization of laparascopic surgery is described.