Minimally invasive laparoscopic surgery

Laparoscopic Surgery Minimally invasive surgery that is accomplished with a laparoscope and the use of specialized instruments, including laser devices, through small incisions. 

Sanchez-MargaUo JA, Sanchez-MargaUo FM, Oropesa I, Gomez EJ. Systems and technologies for objective evaluation of technical skills in laparoscopic surgery. Minim Invasive Ther Allied Technol 2014 23(1) 40—51. 

Recently, medical carbonic acid (CO2) has gained more and more importance in a number of medical helds of application. Especially in the promising field of minimal invasive surgery, the stabilization of visceral cavities (aeroperitoneum, pneumothorax) in laparoscopic and thoracoscopical interventions can not be imagined without the application of this gas - which in case of being correctly used reabsorbs easily. 

The introduction of minimally invasive thermal ablation techniques offers a safe and accurate alternative to open or laparoscopic surgery in the treatment of renal tumors. Experimental as well as clinical studies proved RF ablation to be a safe and effective treatment option for small RCCs. It is well tolerated in patients with percutaneously accessible lesions. However, the long-term outcome remains to be determined. Until then its use is limited to selected patients. Despite these limitations, published experience with renal RF ablation is continuously growing. As soon as its long-term effectiveness is proven, this technique holds the potential to replace surgery as first-line therapy in small RCCs. 

---