title: "Big Operations Using Mini Instruments": The Evolution of Mini Laparoscopy in the Surgical Realm.
abstract: Laparoscopy using miniature (2-3.5 mm) instruments was introduced in the late 1980s and early 1990s. Though mini laparoscopy (Mini) created new opportunities for surgical diagnosis and therapy, the limitations of early instruments inhibited widespread adoption. This is no longer the case. Mini is enjoying a renaissance, due to several factors: the maturation of minimally invasive surgery (MIS), the failure of laparoendoscopic single-site surgery (LESS) and natural orifice transluminal endoscopic surgery (NOTES) platforms to achieve early expectations, and the recent significant improvements in Mini instrument functionality and durability. As a result, Mini is being increasingly applied to pediatric and adult procedures across specialties. To assess the current status of Mini laparoscopy, the Society of Laparoendoscopic Surgeons (SLS) and the Florida Hospital Nicholson Center convened an international symposium in February 2015. This report shares highlights from that symposium, "Big Operations Using Mini Instruments."
authors.affiliation: Minimally Invasive General Surgery, Florida Hospital Celebration Health Celebration, Florida, University of Central Florida College of Medicine, Orlando, Florida.
authors.forename: Jay A
authors.initials: JA
authors.lastname: Redan
authors.affiliation: University of Central Florida College of Medicine, Orlando, Florida.
authors.forename: Ashley-Rose
authors.initials: AR
authors.lastname: Humphries
authors.affiliation: University of Central Florida College of Medicine, Orlando, Florida.
authors.forename: Brianne
authors.initials: B
authors.lastname: Farmer
authors.affiliation: Centro Medico ABC Santa Fe, Mexico City, Mexico.
authors.forename: Eduardo Moreno
authors.initials: EM
authors.lastname: Paquentin
authors.affiliation: Columbia Hospital, St. Mary's Hospital, Milwaukee, WI, Mount Alvernia Hospital, Queen Elizabeth Hospital, Singapore.
authors.forename: Charles H
authors.initials: CH
authors.lastname: Koh
authors.affiliation: Department of Obstetrics and Gynecology, University of Toledo School of Medicine, Toledo, Ohio, Department of Surgery, Lima Memorial Hospital, Lima, Ohio.
authors.forename: Maurice K
authors.initials: MK
authors.lastname: Chung
authors.affiliation: New York Medical College, Maria Fareri Children's Hospital, Valhalla, New York.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Stringel
authors.affiliation: Department of Obstetrics and Gynecology, University of Central Florida, Florida Hospital Celebration Health, Orlando, Florida.
authors.forename: Steven D
authors.initials: SD
authors.lastname: McCarus
authors.affiliation: University of Pernambuco, Department of Surgery, Hospital Universitário Oswaldo Cruz, Recife, Brazil.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Carvalho
authors.affiliation: Sanatorio El Pilar in Guatemala City, Mini Invasive Surgical Group of Guatemala, Guatemala City, Guatemala.
authors.forename: Roberto Gallardo
authors.initials: RG
authors.lastname: Diaz
authors.affiliation: Duke University, Duke Regional Hospital, TOA Surgical Specialists, North Carolina Specialty Hospital, Durham, North Carolina.
authors.forename: Phillip P
authors.initials: PP
authors.lastname: Shadduck
mesh_terms: D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000295:instrumentation*; D008904:Miniaturization / Q000295:instrumentation*; D057605:Natural Orifice Endoscopic Surgery / Q000295:instrumentation*