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| The Janus of mIS in hepatobiliary surgery: Importance of maximally invasive surgery in an era of minimally invasive surgery |
| Maria R Baimas-George, Christoph Tschuor, John B Martinie, David A Iannitti, Erin H Baker, Dionisios Vrochides ∗ |
Division of HPB Surgery, Department of Surgery, Atrium Health-Carolinas Medical Center, 1025 Morehead Medical Drive, Suite 600, Charlotte, NC 28204, USA
∗ Corresponding author.
E-mail address: Dionisios.Vrochides@atriumhealth.org (D. Vrochides). |
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Abstract As surgeons formidably continue to forge into the twentytwenties, after a considerably coronavirus-induced rocky start, one can predict that the era of minimally invasive surgery (mIS), an era of robotics, telehealth, and enhanced recovery after surgery (ERAS®), is not only here to stay but will continue to thrive, develop, and transform our practices. Critics of robotics platforms would be hard pressed not to indulge in this prediction. Will the satisfyingly large midline “stem to stern”, the impressing exposuregenerating Makuuchi or transverse abdominal, the Kocher, paramedian, McBurney, Chevron, and Pfannenstiel incisions begin to disappear and fade away into a scar minimizing future precluding trauma laparotomies? Most likely not. Understanding and developing the skill and technique for a minimally invasive “mIS” approach does not negate or abrogate the maximally invasive “MIS” ones. It is not one or the other; not a “to be or not to be” Shakespearean scenario. Hepatobiliary surgery is a qualified landscape upon which to illuminate and exemplify this declaration: the necessity and companionship of “mIS” and “MIS” – minimally and maximally invasive surgery.
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2020, Vol. 19 
