Abstract
In the last two decades, laparoscopy has become the standard treatment for many gynecological conditions. However, one major obstacle to the more widespread application of endoscopic procedures has been the limitations encountered with conventional laparoscopy. These include poor surgeon ergonomics, counterintuitive hand movement owing to undesirable long instruments, limited degrees of instrument motion within the body, and maintenance of CO2 pneumoperitoneum. Another major obstacle has been the rising cost of laparoscopic surgery, which always employs new and expensive tools to improve the safety and execution of operations.
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References
Barnett RB, Gordon S, Drizin GS. Pulmonary changes after laparoscopic cholecystectomy. Surg Laparosc Endosc. 1992;2:125–7.
Beebe DS, McNevin MP, Crain JM, Letourneau JC, Belani KG, Abrahms JA, et al. Evidence of venous stasis after abdominal insufflation for laparoscopic cholecystectomy. Surgery. 1993;176:443–7.
Brown DR, Fishburne JI, Roberson VO, Hulka JF. Ventilatory and blood gas changes during laparoscopy with local anesthesia. Am J Obstet Gynecol. 1976;124:741–5.
Fitzgerald SD, Andrus CH, Baudendistel LJ, Dahms TE, Kaminski DL. Hypercarbia during carbon dioxide pneumoperitoneum. Am J Surg. 1992;163:186–90.
Ho HS, Gunther RA, Wolfe BN. Intraperitoneal carbon dioxide insufflation and cardiopulmonary function. Arch Surg. 1992;127:928–33.
Ivankovic AD, Miletich DJ, Albrecht RF, Heyman HJ, Bonnet RF. Cardiovascular effects of intraperitoneal insufflation with carbon dioxide and nitrous oxide in the dog. Anesthesiology. 1975;42:281–7.
Khan RM, Maroof M, Bhatti TH, Hamalawy H, Abbas JS. Correlation of end tidal CO2 and haemodynamic variation following CO2 insufflation during laparoscopic cholecystectomy. Anesthesiology. 1992;77:464–7.
Lenz RJ, Thomas TA, Wilkins DG. Cardiovascular changes during laparoscopy. Anaesthesia. 1976;31:4–12.
Volz J, Koster S, Weis M, Schmidt R, Urbaschek R, Melchert T, et al. Pathophysiologic features of a pneumoperitoneum at laparoscopy: a swine model. Am J Obstet Gynecol. 1996;174:132–40.
Kelman GR, Swapp GH, Benzie RJ, Gordon NLM. Cardiac output and arterial blood gas tension during laparoscopy. Br J Anaesth. 1972;44:1155–62.
Motew M, Ivankovic A, Bieniarz J, Albrecht RF, Zahed B, Scommegna A. Cardiovascular effects and acid-base and blood gas changes during laparoscopy. Am J Obstet Gynecol. 1973;115:1002–12.
Seed RF, Shakespeare TF, Muldoon MJ. Carbon dioxide homeostasis during anaesthesia for laparoscopy. Anaesthesia. 1970;25:223–31.
Neuhaus SJ, Watson DI, Ellis T, Rofe AM, Mathew G, Jamieson GG. Influence of gases on intraperitoneal immunity during laparoscopy in tumor-bearing rats. World J Surg. 2000;24:1227–31.
Trokel MJ, Bessler M, Treat MR, Whelan RL, Nowygrod R. Preservation of immune response after laparoscopy. Surg Endosc. 1994;8:1385–8.
Watson RWG, Redmond HP, McCarthy J. Exposure of the peritoneal cavity to air regulates early inflammatory responses to surgery in a murine model. Br J Surg. 1995;82:1060–5.
Akira S, Yamanaka A, Ishihara T, Takeshita T, Araki T. Gasless laparoscopic ovarian cystectomy during pregnancy: comparison with laparotomy. Am J Obstet Gynecol. 1999;180:554–7.
Amos JD, Schorr SJ, Norman PF, Poole GV, Thomae KR, Mancino AT, et al. Laparoscopic surgery during pregnancy. Am J Surg. 1996;171:435–7.
Cruz AM, Southerland LC, Duke T, Townsend HG, Ferguson JG, Crone LA. Intraabdominal carbon dioxide insufflation in the pregnant ewe. Uterine blood flow, intraamniotic pressure, and cardiopulmonary effects. Anesthesiology. 1996;85:1395–402.
Hess LW, Peaceman A, O’Brien WF, Winkel CA, Cruikshank DP, Morrison JC. Adnexal mass occurring with intrauterine pregnancy: report of fifty-four patients requiring laparotomy for definitive management. Am J Obstet Gynecol. 1988;158:1029–34.
Hunter JG, Swanstorm L, Thomburg K. Carbon dioxide pneumoperitoneum induces fetal acidosis in a pregnant ewe model. Surg Endosc. 1995;9:272–9.
Carroll BJ, Chandra M, Phillips EH, Harold JG. Laparoscopic cholecystectomy in the heart transplant candidate with acute cholecystitis. J Heart Lung Transplant. 1992;11:831–3.
Chamberlain G, Brown JC. Gynaecological laparoscopy: report on the confidential inquiry into gynaecological laparoscopy. London: Royal College of Obstetricians and Gynaecologists; 1978.
De Sousa H, Tyler IL. Can absorption of the insufflation gas during laparoscopy be hazardous? Anesthesiology. 1987;67:476–80.
Holzman M, Sharp K, Richards W. Hypercarbia during CO2 gas insufflation for therapeutic laparoscopy: a note of caution. Surg Laparosc Endosc. 1992;2:11–4.
Johannsen G, Juhl B. The effect of general anaesthesia on the haemodynamic events during laparoscopy with CO2 insufflation. Acta Anaesthesiol Scand. 1989;33:132–6.
Kent RB. Subcutaneous emphysema and hypercarbia following laparoscopic cholecystectomy. Arch Surg. 1991;126:1154–6.
Taura P, Lopez A, Lacy AM, Anglada T, Beltran J, Fernandez-Cruz L, et al. Prolonged pneumoperitoneum at 15 mm Hg causes lactic acidosis. Surg Endosc. 1998;12:198–201.
Ott DE. Contamination via gynaecologic endoscopy insufflation. J Gynecol Surg. 1989;5:205–85.
Canis M, Botchorishvili R, Wattiez A, Mage G, Pouly JL, Bruhat MA. Tumor growth and dissemination after laparotomy and CO2 pneumoperitoneum: a rat ovarian cancer model. Obstet Gynecol. 1998;92:104–8.
Canis M, Botchorishvili R, Wattiez A, Pouly JL, Mage G, Manhes H, et al. Cancer and laparoscopy, experimental studies: a review. Eur J Obstet Gynecol Reprod Biol. 2000;91:1–9.
Dorrance HR, Oien K, O’Dwyer PJ. Effects of laparoscopy on intraperitoneal tumor growth and distant metastases in an animal model. Surgery. 1999;126:35–40.
Gutt CN, Kim ZG, Schmandra T, Paolucci V, Lorenz M. Carbon dioxide pneumoperitoneum is associated with increased liver metastases in a rat model. Surgery. 2000;127:566–70.
Hopkins MP, Dulai RM, Occhino A, Holda S. The effects of carbon dioxide pneumoperitoneum on seeding of tumor in port sites in a rat model. Am J Obstet Gynecol. 1999;181:1329–34.
Hopkins MP, von Gruenigen V, Haller NA, Holda S. The effect of various insufflation gases on tumor implantation in an animal model. Am J Obstet Gynecol. 2002;187:994–6.
Jacobi CA, Sabat R, Bohm B, Zieren HU, Volk HD, Muller JM. Pneumoperitoneum with carbon dioxide stimulates growth of malignant colonic cells. Surgery. 1997;121:72–8.
Jones DB, Guo LW, Reinhard MK, Soper NJ, Philpott GW, Connett J. Impact of pneumoperitoneum on trocar site implantation of colon cancer in hamster model. Dis Colon Rectum. 1995;38:1182–8.
Smidt VJ, Singh DM, Hurteau JA, Hurd WW. Effect of carbon dioxide on human ovarian carcinoma cell growth. Am J Obstet Gynecol. 2001;185:1314–7.
Bacha EA, Barber W, Ratchford W. Port-site metastases of adenocarcinoma of the fallopian tube after laparoscopically assisted vaginal hysterectomy and salpingo-oophorectomy. Surg Endosc. 1996;10:1102–3.
Bouvy ND, Marquet RL, Jeekel H, Bonjer J. Impact of gas(less) laparoscopy and laparotomy on peritoneal tumor growth and abdominal wall metastases. Ann Surg. 1996;224(6):694–701.
Cavina E, Goletti O, Molea N, Buccianti P, Chiarugi M, Boni G, et al. Trocar site tumor recurrences. May pneumoperitoneum be responsible? Surg Endosc. 1998;12:1294–6.
Childers JM, Aqua KA, Surwit EA, Hallum AV, Hatch KD. Abdominal-wall tumor implantation after laparoscopy for malignant conditions. Obstet Gynecol. 1994;84:765–9.
Cirocco WC, Schwartzman A, Golub RW. Abdominal wall recurrence after laparoscopic colectomy for colon cancer. Surgery. 1994;116:842–6.
Dobronte Z, Wittmann T, Karacsony G. Rapid development of malignant metastases in the abdominal wall after laparoscopy. Endoscopy. 1978;10:127–30.
Faught W, Fung M. Port site recurrences following laparoscopically managed early stage endometrial cancer. Int J Gynecol Cancer. 1999;9:256–8.
Fusco MA, Paluzzi MW. Abdominal wall recurrence after laparoscopic-assisted colectomy for adenocarcinoma of the colon. Dis Colon Rectum. 1993;36:858–61.
Gleeson NC, Nicosia SV, Mark JE, Hofman MS, Cavanagh D. Abdominal wall metastases from ovarian cancer after laparoscopy. Am J Obstet Gynecol. 1993;169:522–3.
Hopkins MP, von Gruenigen V, Gaich S. Laparoscopic port site implantation with ovarian cancer. Am J Obstet Gynecol. 2000;182:735–6.
Jacquet P, Averbach A, Jacquet N. Abdominal wall metastasis and peritoneal carcinomatosis after laparoscopic assisted colectomy for colon cancer. Eur J Surg Oncol. 1995;21:568–70.
Lane G, Tay J. Port site metastasis following laparoscopic lymphadenectomy for adenosquamous carcinoma of the cervix. Gynecol Oncol. 1999;74:130–3.
Lehner R, Wenzl R, Heinzl H, Husslein P, Sevelda P. Influence of delayed staging laparotomy after laparoscopic removal of ovarian masses later found to be malignant. Obstet Gynecol. 1998;92:967–71.
Leminem A, Lehtovirta P. Spread of ovarian cancer after laparoscopic surgery: report of eight cases. Gynecol Oncol. 1999;75:387–90.
Muntz HG, Goff BA, Madsen BL, Yon JL. Port site recurrence after laparoscopic surgery for endometrial carcinoma. Obstet Gynecol. 1999;93:807–9.
Naumann RW, Spencer S. An umbilical metastasis after laparoscopy for squamous cell carcinoma of the cervix. Gynecol Oncol. 1997;64:507–9.
Nduka C, Monson J, Menzies-Gow N, Darzi A. Abdominal wall metastases following laparoscopy. Br J Surg. 1994;81:648–52.
Paolucci V, Schaeff B, Schneider M, Gutt C. Tumor seeding following laparoscopy: international survey. World J Surg. 1999;23:989–95.
Tjalma WA, Winter-Roach BA, Rowlands P, De Barros Lopes A. Port-site recurrence following laparoscopic surgery in cervical cancer. Int J Gynecol Cancer. 2001;11:409–12.
Volz J, Köster S, Schaeff B, Paolucci V. Laparoscopic surgery: the effects of insufflation gas on tumor-induced lethality in nude mice. Am J Obstet Gynecol. 1998;178:793–5.
Wang PH, Yen MS, Yuan CC, Chao KC, Ng HT. Port site metastasis after laparoscopic-assisted vaginal hysterectomy for endometrial cancer: possible mechanisms and prevention. Gynecol Oncol. 1997;66:151–5.
Alexander RJT, Jaques BC, Mitchell KG. Laparoscopically assisted colectomy and wound recurrence. Lancet. 1993;341:250–6.
Mathew G, Watson DI, Ellis TS, Jamieson GG, Rofe AM. The role of peritoneal immunity and the tumour-bearing state on the development of wound and peritoneal metastases after laparoscopy. Aust N Z J Surg. 1999;69:14–8.
Slater NJ, Ratterv AT, Cope GH. The ultrastructure of human abdominal mesothelium. J Anat. 1989;167:47–56.
Wang PH, Yuan CC, Chao KC, Yen MS, Ng HT, Chao HT. Squamous cell carcinoma of the cervix after laparoscopic surgery. J Reprod Med. 1997;42:801–4.
Koivusalo AM, Kellokumpu I, Ristkari S, Lindgren L. Splanchnic and renal deterioration during and after laparoscopic cholecystectomy: a comparison of the carbon dioxide pneumoperitoneum and the abdominal wall lift method. Anesth Analg. 1997;85:886–91.
Koivusalo AM, Kellokumpu I, Scheinin M, Tikkanen I, Makisalo H, Lindgren L. A comparison of gasless mechanical and conventional carbon dioxide pneumoperitoneum methods for laparoscopic cholecystectomy. Anesth Analg. 1998;86:153–8.
Lukban JC, Jaeger J, Hammond KC, LoBraico DA, Gordon AM, Graebe RA. Gasless versus conventional laparoscopy. N J Med. 2000;97:29–34.
Schulze S, Lyng KM, Bugge K, Perner A, Bendtsen A, Thorup J, et al. Cardiovascular and respiratory changes and convalescence in laparoscopic colonic surgery: comparison between carbon dioxide pneumoperitoneum and gasless laparoscopy. Arch Surg. 1999;134:1112–8.
Cravello L, D’Ercole C, Roger V, Samson D, Blanc B. Laparoscopic surgery in gynecology: randomized prospective study comparing pneumoperitoneum and abdominal wall suspension. Eur J Obstet Gynecol Reprod Biol. 1999;83:9–14.
D’Ercole C, Cravello L, Guyon F, DeMontgolfier R, Boubli L, Blanc B. Gasless laparoscopic gynecologic surgery. Eur J Obstet Gynecol Reprod Biol. 1996;66:137–44.
Johnson PL, Sibert KS. Laparoscopy: gasless vs CO2 pneumoperitoneum. J Reprod Med. 1997;42:255–9.
Kruczynski D, Scaffer U, Knapstein PG. Gasless laparoscopy with conventional surgical instruments. Gynecol Endosc. 1996;5:277–81.
Smith RS, Fry WR, Tsoi EK, Henderson VJ, Hirvela ER, Koehler RH. Gasless laparoscopy and conventional instruments: the next phase of minimally invasive surgery. Arch Surg. 1993;128:1102–7.
Hill DJ, Maher PJ, Wood HF. Gasless laparoscopy. Aust N Z J Obstet Gynecol. 1994;6:185–92.
Paolucci V, Schaeff B, editors. Gasless laparoscopy in general surgery and gynecology. New York: Thieme; 1996.
Tanaka H, Futamura N, Takubo S, Toyoda N. Gasless laparoscopy under epidural anesthesia for adnexal cysts during pregnancy. J Reprod Med. 1999;44:929–32.
Goldberg JM, Maurer WG. A randomized comparison of gasless laparoscopy and CO2 pneumoperitoneum. Obstet Gynecol. 1997;90:416–20.
Guido RS, Brooks K, McKenzie R, Gruss J, Krohn MA. A randomized, prospective comparison of pain after gasless laparoscopy and traditional laparoscopy. J Am Assoc Gynecol Laparosc. 1998;5:149–53.
Hashimoto D, Nayeem SA, Kajiwara S, Hoshino T. Laparoscopic cholecystectomy: a new approach without pneumoperitoneum. Surg Endosc. 1993;7:54–6.
Nagai H, Kondo Y, Yasuda T. An abdominal wall-lift method of laparoscopic cholecystectomy without peritoneal insufflation. Surg Laparosc Endosc. 1993;3:175–9.
Gasbarro N, Lupo P, Brusati M, Leanza V. Chirurgia ginecologica meno invasiva e riparazione lesioni iatrogene. Ed. Abiabè 2006.
Fader AN, Rojas-Espaillat L, Ibeanu O, Grumbine FC, Escobar PF. Laparoendoscopic single-site surgery (LESS) in gynecology: a multi-institutional evaluation. Am J Obstet Gynecol. 2010;203:501.e1-6.
MacFadyen BV, Lenz S. The economic consideration in laparoscopic surgery. Surg Endosc. 1994;8:748–52.
Hasson HM. A modified instrument and method for laparoscopy. Am J Obstet Gynecol. 1971;110:886–7.
Hasson HM. Open laparoscopy: a report of 150 cases. J Reprod Med. 1974;12:234–8.
Penfield AJ. How to prevent complications of open laparoscopy. J Reprod Med. 1985;30:660–4.
Canis M, Mage G, Pouly JL, Wattiez A, Manhes H, Bruhat MA. Laparoscopic diagnosis of adnexal cystic masses: a 12 year experience with long term follow-up. Obstet Gynecol. 1994;83:707–12.
Canis M, Pouly JL, Wattiez A, Mage G, Manhes H, Bruhat MA. Laparoscopic management of adnexal tumours suspicious at ultrasound. Obstet Gynecol. 1997;89:679–83.
Canis M, Rabischong B, Batchorishvili R, Tamburo S, Wattiez A, Mage G, et al. Risk of spread of ovarian cancer after laparoscopic surgery. Curr Opin Obstet Gynecol. 2001;13:9–14.
Ogihara Y, Isshiki A, Kindscher JD, Goto H. Abdominal wall lift versus carbon dioxide insufflation for laparoscopic resection of ovarian tumors. J Clin Anesth. 1999;11:406–12.
Querleu D, Childers JM, Dargent D. Laparoscopic surgery in gynaecological oncology. Malden: Blackwell Science; 1999.
Shepherd JH, Carter PG, Lowe DG. Wound recurrence by implantation of a borderline ovarian tumour following laparoscopic removal. Br J Obstet Gynaecol. 1994;101:265–6.
van Dam PA, DeCloedt J, Tjalma WAA, Buytaert P, Becquart D, Vergote I. Trocar implantation metastasis after laparoscopy in patients with advanced ovarian cancer: can the risk be reduced? Am J Obstet Gynecol. 1999;181:536–41.
Leidi L, Brusati M, Vespa MG. A treacherous scar. Am J Obstet Gynecol. 2007;197:553. e1-553. e2.
Pelosi 3rd MA, Pelosi MA. Spontaneous uterine rupture at thirty-three weeks subsequent to previous superficial laparoscopic myomectomy. Am J Obstet Gynecol. 1997;177:1547–9.
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Gasbarro, N., Brusati, M., Lupo, P., Gerli, S., Di Renzo, G.C. (2012). The Evolution of Minimally Invasive Gynecological Surgery: Gas-Less Laparoscopic Inspection and Single Hole Surgery (GLISHS). In: Tinelli, A. (eds) Laparoscopic Entry. Springer, London. https://doi.org/10.1007/978-0-85729-980-2_10
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