Endoscopic microsurgery: a new concept
Epublication WebSurg.com, Jul 2012;12(07). URL: http://websurg.com/doi/lt03enliverneaux002
In this authoritative lecture, Dr. Philippe Liverneaux focuses on endoscopic microsurgery. Conventional microsurgery requires large incisions and extensive dissections while it is performed in a small operating field. In this context, the concept of endoscopic microsurgery appears to be a logical way to be put to the test. We rely on four years of practical experience using the Da Vinci™ robot at the European Institute of Telesurgery in Strasbourg, France. To-date, 40 patients have been operated on by our Hand Surgery and Peripheral Nerve Department. Endoscopic Microsurgery combines the properties of microsurgery, endoscopic surgery, and telesurgery. Not only does it allow to magnify the vision of the operating field, but it also allows to multiply the operator's hand movements, and all the more so by means of minimally invasive approaches. Its evolution necessitates the development of a dedicated robot and specific instrumentation capable of handling such procedures.