Minimally Invasive Surgery — Surgical Reference Treatise

Surgery · Clinical Specialties

How it begins

De los principios biofísicos de la óptica y la biomecánica del neumoperitoneo, a la integración de sistemas robóticos multitarea, flujos metabólicos del paciente crítico, fuentes de energía avanzada, procedimientos específicos y navegación holográfica asistida por Inteligencia Artificial.

What it covers

1. Historical evolution, principles and biophysical bases of the CMI
2. · Biophysical bases of optical transmission and imaging systems
3. · Image acquisition and processing systems
4. Physiology of pneumoperitoneum: systemic repercussions
5. · Hemodynamic and cardiovascular effects
6. · Pulmonary effects and mechanical ventilation
7. · CO₂ absorption and hypercapnia
8. · Effects on renal, splanchnic and cerebral function
9. Equipment, instruments and advanced energy sources
10. · Electrosurgical Systems: Monopolar vs. Bipolar
11. · Advanced energy sources for vessel sealing and cutting
12. Accesses and initial instrumentation in the abdominal cavity
13. · Abdominal access techniques: Open vs. Closed
14. · Anatomy of the abdominal wall applied to the insertion of secondary trocars
15. · Insufflation dynamics and insufflator parameters
16. Robotic surgery: platforms, kinematics and ergonomics
17. · Architecture of robotic platforms (e.g. Da Vinci™)
18. · Degrees of freedom and Endowrist™ technology
19. · Shake filter and motion scaling
20. · Market evolution: New robotic platforms
21. Thoracoscopy and anatomical VATS/RATS
22. · Physiology of selective monopulmonary ventilation
23. · Approach techniques in VATS: Multiportal versus Uniportal
24. · Systematics of an Anatomical Pulmonary Lobectomy by VATS
25. Endovascular surgery and image-guided intervention
26. · Percutaneous Seldinger technique
27. · Basic instruments: Guides, Catheters and Luminal Energy Systems
28. · Therapeutic techniques: Angioplasty, Stenting and Embolization Systems
29. NOTES and SILS: evolution towards the absence of visible scars
30. · Single Incision Laparoscopic Surgery (SILS)
31. · Transluminal Endoscopic Surgery through Natural Orifices (NOTES)
32. · POEM: The intraluminal NOTES paradigm
33. Specific intraoperative complications of CMI and their management
34. · Air embolism due to CO₂
35. · Major vascular and visceral injuries
36. · Criteria for conversion to open surgery
37. Clinical applications in General and Digestive System Surgery
38. · Laparoscopic Cholecystectomy and the Critical View of Safety (Strasberg)
39. · Colorectal Surgery: Total Mesorectal Excision (TME)
40. · Obesity and Metabolic Surgery: Roux-en-Y Gastric Bypass
41. Applications in Gynecology, Urology and other specialties
42. · Urology: Robot-Assisted Radical Prostatectomy (RARP)
43. · Gynecology: Total Hysterectomy and Pelvic Lymphadenectomy
44. · Other specialties: Arthroscopy of major joints
45. Anesthesia, monitoring and ERAS protocol in CMI
46. · Protective intraoperative mechanical ventilation strategies
47. · Advanced non-invasive hemodynamic monitoring
48. · ERAS accelerated recovery protocols applied to the CMI
49. Aspects of training, training, virtual reality and simulation
50. · FLS Curriculum (Fundamentals of Laparoscopic Surgery)
51. · Advanced Virtual Reality Simulators
52. Technological innovation, artificial intelligence and the future of the CMI
53. · Artificial vision and intraoperative Artificial Intelligence
54. · Augmented Reality and Holographic Surgical Navigation
55. · Levels of autonomy in robotic surgical systems
56. Contraindications, patient selection and pre-surgical integration
57. · Absolute and relative contraindications of pneumoperitoneum
58. · Pre-surgical integrative evaluation