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Transanal Endoscopic Microsurgery (TEM): the first endoluminal endoscopic surgery
1Finch University of Health Sciences, The Chicago Medical School, Illinois, USA.
Surgical Technology International
|January 1, 1997
Summary
Endoscopic surgery involves minimally invasive procedures in the chest and abdomen using small incisions for specialized tools and cameras. This approach reduces patient trauma compared to traditional open surgery.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
- Surgical Anatomy
Background:
- Endoscopic surgery is a minimally invasive approach for procedures within major body cavities.
- It requires small incisions (ports) for inserting endoscopic instruments and optics.
- Current techniques often involve introducing optics and instruments from varied angles.
Purpose of the Study:
- To define the fundamental principles of endoscopic surgery.
- To highlight the role of port placement in endoscopic procedures.
- To emphasize the trauma reduction associated with endoscopic access.
Main Methods:
- Review of standard endoscopic surgical techniques.
- Analysis of port placement strategies in abdominal and thoracic surgery.
- Comparison of trauma associated with endoscopic versus open surgical access.
Main Results:
- Endoscopic surgery is primarily performed in the abdomen and thorax.
- Small incisions are essential for introducing optics and instruments.
- Access via small incisions inherently reduces surgical trauma.
Conclusions:
- Endoscopic surgery offers a less traumatic approach to accessing major body cavities.
- Strategic port placement is key to successful endoscopic procedures.
- The technique is defined by minimally invasive access for optics and instruments.
