Progress in Minimal Invasive Surgery Minimal invasive surgery has been called the 3rd patientfriendly revolution within surgery after the introduction of asepsis and anesthesia. In spite of the optimistic prognosis in the early 1990s, it has not yet succeeded to gain general acceptance, except for laparoscopic cholecystectomy. While about 70–80% of all gallstone bladders are removed laparoscopically today, the frequency of minimal invasive technique in inguinal hernia surgery in Germany is about 25–30%, for appendectomies about 30–40% and for colorectal resections between 5 and 10%. The remaining operations do not play an important part numerically. The reasons for this poor acceptance in spite of numerous proofs of the advantages of the minimal invasive technique are above all the technical difficulty and the higher surgical costs. Furthermore the potential for dangerous complications given by laparoscopy is frequently cited. Of decisive importance for the future development of minimal invasive surgery will be: the precise standardisation of the surgical techniques, the development of a structured education, the reduction of costs as well as the improvement of study matters.

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© 2004 S. Karger GmbH, Freiburg
2004
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