Where is minimally-invasive surgery headed? These experts have all of the answers.
Two industry experts discuss the past, present, and future of minimally-inva- sive surgery and how these will affect the healthcare industry overall.
SP: How has the increased prevalence of
minimally-invasive surgical procedures over
the past few decades affected the develop-
ment of products for the operating room?
Ryan Mancini, Product Manager, Endoscopy, Aesculap,
Inc.: The diameter of laparoscopic instruments has experienced a significant evolution over the years moving from
10mm to 5mm and now more recently moving to mini-sized
diameters. Devices capable of performing multiple tasks in
the same procedure have enhanced physician efficiency and
reduced the overall time of some procedures. Advanced bipolar energy
devices are a great example of this evolution as they have moved from
traditional bipolar forceps to being capable of dissecting, sealing, and
cutting tissue, and, in some, cases replacing the need for ultrasonic and
stapling devices in the same procedure.
SP: In your opinion, will surgical proce-
dures become even less invasive in the
future? Why or why not?
Mancini: Increase in Quantity of MIS procedures:
Certain procedures, such as laparoscopic cholecy-sectomy, have approached near saturation rates of
being performed minimally invasively. That said,
many others, such as laparoscopic colectomy, still
see a fair percentage being performed with traditional open surgery. The evolution of surgical techniques will facilitate increased adoption of additional minimally-invasive procedures being performed
Decrease in Overall Invasiveness: Needlescopic
or mini-laparoscopic instruments are not new
concepts. However, as technology has improved, so too has efficacy
of these devices. Traditionally using smaller diameter instruments
meant sacrificing jaw strength and shaft rigidity. However, some
devices on the market can replicate the strength and rigidity of 5mm
instruments in a smaller shaft.