[Minimally invasive surgery of small intestine].
Since the first laparoscopic surgery was performed by Erick Mühe in 1986, multiple minimally invasive techniques have been developed. The small intestine presents several technical difficulties for the application of these techniques, namely: its size, mobilization inside the abdominal cavity, difficulty defining the site under manipulation and the distension association by an ileo or an occlusion. The development of new technology with better cameras and coagulation equipment such as the Harmonic Scalpel and the Ligasure, cutting linear staplers, have permitted the evolution of surgical techniques for the small intestine. Indications for the use of minimally invasive interventions in the treatment of the small intestine are classified as urgent and elective. Lesions secondary to an abdominal cavity puncture were the first to be treated in the small intestine. Abdominal trauma due to a sharp instrument can also be treated through this method. Intestinal occlusion treated without a great dilation can be solved in 55 to 65% of cases. Crohn's disease various surgical treatments are performed by laparoscopy. Obesity surgical treatments, particularly derivative gastroplasty have been carried out successfully by minimally invasive surgery. Gastrojejunoanastomosis or cystojejunoanastomosis are specialized techniques which are performed with minimal invasion; any kind of digestive or urinary stoma can be performed with these techniques. As the surgeon's surgical skills evolve, surgical minimally invasive indications for the small intestine become wider.
Carrasco Rojas
José Antonio
JA
Cirujano del Hospital Angeles del Pedregal, Mexico, DF. jcarrasc@infosel.net.mx
D002986:Clinical Trials as Topic; D004724:Endoscopy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D007410:Intestinal Diseases / Q000601:surgery*; D007421:Intestine, Small / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods; D011183:Postoperative Complications; D016896:Treatment Outcome