Open surgery in the era of minimally invasive surgery

Abstract

The benefits and popularity of minimally invasive surgery are undeniable around the globe. However, open surgery is necessary and learning open surgery skills is still a necessity. Open surgery allows for better exposure to the surgical field and provides tactile sensation to facilitate the stereo visual assessment to precisely remove the lesion. Open surgery is still the key to surgical training, and the skills learned from open surgeries remain crucial for unforeseen circumstances and certain conditions like emergencies, challenge cases, or patients with compromised status.

Short-Term Outcomes of Laparoscopic-Assisted Colectomy versus Open Colectomy in Patients with Colonic Carcinoma: A Prospective Randomized Study

“…Curative surgical resection is the backbone of the treatment for colonic carcinoma. 7 Since the first description of LAC procedure, numerous studies [1][2][3][4][5][6][7][8][9][10][11][12] have demonstrated that, as compared to OC, LAC resections are associated with lower levels of pain, quicker recovery, and non-inferior oncological results. Although laparoscopic colorectal surgery has grown in popularity in recent years, numerous international surveys [13][14][15][16][17][18][19] have revealed that it is still mostly underutilised, with significant variations among centres.…”

“…Since the first reports of laparoscopic-assisted colectomy (LAC), published in 1991, and with the advancement and widespread application of medical technology, LAC has gained popularity among surgeons worldwide over the past 30 years. 3 With oncological long-term outcomes comparable to those of the conventional surgery, LAC is now broadly used by surgeons around the world with several advantages, such as lower amount of blood loss, shorter wound incision, and a quicker recovery of intestinal function. 4 Numerous studies 5 have demonstrated that LAC can be performed with outcomes that are equivalent to those of OC, but the differences between the two procedures in terms of short-term outcomes and postoperative complications, particularly outside of specialized centers, have not been well described nor thoroughly documented.…”

“…Since the first reports of laparoscopic-assisted colectomy (LAC), published in 1991, and with the advancement and widespread application of medical technology, LAC has gained popularity among surgeons worldwide over the past 30 years. 3…”

Topology observing 3D device reconstruction from continuous‐sweep limited angle fluoroscopy

“…Minimally invasive procedures that utilize a microcatheter and guidewire passed via endoluminal structures blood vessels and airways to sites of disease are often preferred compared to open surgery due to the reduced risk for complications, shorter hospital stays, and lower pain. [1][2][3] Two-dimensional (2D) fluoroscopy is currently the primary real-time image guidance modality during navigation. 4 However, 2D imaging can pose navigation challenges in complex structures with overlapping branches and with branches perpendicular to the image plane.…”

Is there a role for warm humidified carbon dioxide insufflation in open abdominal surgery?

“…There has been a shift over time in the context in which open abdominal surgery is performed 25 . The modern preference for laparoscopy in the majority of abdominal surgery means that open surgery tends to be performed when circumstances are unfavourable for laparoscopy.…”