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"Big Operations Using Mini Instruments": The Evolution of Mini Laparoscopy in the Surgical Realm
Jay A Redan1, Ashley-Rose Humphries2, Brianne Farmer2
1Minimally Invasive General Surgery, Florida Hospital Celebration Health Celebration, Florida, University of Central Florida College of Medicine, Orlando, Florida.
Surgical Technology International
|December 19, 2015
Summary
Mini laparoscopy, using small 2-3.5 mm instruments, is experiencing a resurgence. Improved technology and unmet expectations from other minimally invasive surgery platforms are driving its wider application in adult and pediatric procedures.
Area of Science:
- Surgical Technology
- Minimally Invasive Surgery
Background:
- Mini laparoscopy (Mini) emerged in the late 1980s/early 1990s with limited instrument functionality.
- Early limitations hindered widespread adoption of Mini laparoscopy.
Purpose of the Study:
- To assess the current status and resurgence of mini laparoscopy.
- To highlight advancements in mini laparoscopy instruments and applications.
Main Methods:
- An international symposium convened by the Society of Laparoendoscopic Surgeons (SLS) and Florida Hospital Nicholson Center in February 2015.
- Review of key developments and applications in mini laparoscopy.
Main Results:
- Mini laparoscopy is undergoing a renaissance due to technological improvements.
- Factors contributing to its revival include the maturation of minimally invasive surgery (MIS) and the underperformance of LESS and NOTES platforms.
- Mini laparoscopy is increasingly used in pediatric and adult procedures across various specialties.
Conclusions:
- Mini laparoscopy instruments have significantly improved in functionality and durability.
- Mini laparoscopy is a viable and growing option for complex surgical procedures.
- The symposium provided insights into the "Big Operations Using Mini Instruments" approach.

