title: [Perspectives of minimal invasive surgery].
abstract: The rapid and often uncritical introduction of complex minimal invasive procedures in clinical routine has been increasingly criticized. Even established minimal invasive techniques as for instance laparoscopic cholecystectomy are discussed controversial. Causes hereof are the lack of basic research and the unstructured development of new operative techniques. The possibilities of physiology adjusted basic research in minimal invasive surgery and stepwise a structured testing of new operative techniques are demonstrated. The changing conditions of the next century demand critical evaluation of the effectiveness of video-endoscopic surgery in prospective randomized trials, if it will keep or expand its present clinical importance.
authors.affiliation: Universitätsklinik und Poliklinik für Chirurgie, Charité, Medizinische Fakultät der Humboldt, Universität zu Berlin.
authors.forename: J M
authors.initials: JM
authors.lastname: Müller
authors.forename: W
authors.initials: W
authors.lastname: Schwenk
authors.forename: C A
authors.initials: CA
authors.lastname: Jacobi
authors.forename: B
authors.initials: B
authors.lastname: Böhm
mesh_terms: D005544:Forecasting; D005858:Germany; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000639:trends*; D011446:Prospective Studies; D016032:Randomized Controlled Trials as Topic; D016896:Treatment Outcome
vernacular_title: Perspektiven der minimal-invasiven Chirurgie.