Department of Surgery, The University of Illinois at Chicago, Chicago, IL, USA.
Division of Pediatric Surgery, The University of Illinois at Chicago, 848 S Wood Street, Ste 406, Chicago, IL, 60612, USA.
Surg Endosc. 2022 Oct;36(10):7077-7091. doi: 10.1007/s00464-022-09467-5. Epub 2022 Aug 19.
The TAVAC and Pediatric Committees of SAGES evaluated the current use of mini-laparoscopic instrumentation to better understand the role this category of devices plays in the delivery of minimally invasive surgery today.
The role of mini-laparoscopic instrumentation, defined as minimally invasive instruments of between 1 and 4 mm in diameter, was assessed by an exhaustive review of the peer reviewed literature on the subject between 1990 and 2021. The instruments, their use, and their perceived value were tabulated and described.
Several reported studies propose a value to using mini-laparoscopic instrumentation over the use of larger instruments or as minimally invasive additions to commonly performed procedures. Additionally, specifically developed smaller-diameter instruments appear to be beneficial additions to our minimally invasive toolbox.
The development of small instrumentation for the effective performance of minimally invasive surgery, while perhaps best suited to pediatric populations, proves useful as adjuncts to a wide variety of adult surgical procedures. Mini-laparoscopic instrumentation thus proves valuable in selected cases.
SAGES 的 TAVAC 和儿科委员会评估了迷你腹腔镜器械的当前使用情况，以便更好地了解这一类设备在当今微创外科中的作用。
通过对 1990 年至 2021 年期间关于该主题的同行评议文献进行全面回顾，评估了微型腹腔镜器械的作用，微型腹腔镜器械的定义为直径在 1 至 4 毫米之间的微创器械。对这些器械、它们的用途及其感知价值进行了制表和描述。
一些报道的研究提出了使用微型腹腔镜器械的价值，超过了使用更大器械的价值，或者作为微创添加到常见手术中。此外，专门开发的较小直径器械似乎是我们微创工具包的有益补充。
小型器械的开发对于微创外科的有效实施非常重要，虽然它可能最适合儿科人群，但作为各种成人手术的辅助手段也非常有用。因此，在某些情况下，迷你腹腔镜器械非常有价值。
