This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on ISI (54)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Topic Collections  • Statistics and Research Methods  • Surgical Interventions  • Endoscopy/ Minimally Invasive Surgery  • Robotics  • Alert me on articles by topic

Michael J. Mack, MD

JAMA. 2001;285:568-572.

Advances in surgery have focused on minimizing the invasiveness of surgical procedures, such that a significant paradigm shift has occurred for some procedures in which surgeons no longer directly touch or see the structures on which they operate. Advancements in video imaging, endoscope technology, and instrumentation have made it possible to convert many procedures in many surgical specialties from open surgeries to endoscopic ones. The use of computers and robotics promises to facilitate complex endoscopic procedures by virtue of voice control over the networked operating room, enhancement of dexterity to facilitate microscale operations, and development of virtual simulator trainers to enhance the ability to learn new complex operations. Future research will focus on delivery of diagnostic and therapeutic modalities through natural orifices in which investigation is under remote control and navigation, so that truly "noninvasive" surgery will be a reality.

Author Affiliation: Cardiopulmonary Science Research and Technology Institute, Dallas, Tex.

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Robotic Surgery in the Pediatric Airway: Application and Safety
Rahbar et al.
Arch Otolaryngol Head Neck Surg 2007;133:46-50.
ABSTRACT | FULL TEXT  

A Minimal-Incision Technique in Total Hip Arthroplasty Does Not Improve Early Postoperative Outcomes. A Prospective, Randomized, Controlled Trial
Ogonda et al.
JBJS 2005;87:701-710.
ABSTRACT | FULL TEXT  

Why Use Remote Guidance to Steer Catheters and Guide Wires?
Miller
Radiology 2004;232:313-314.
FULL TEXT  

Vascular Guide Wire Navigation with a Magnetic Guidance System: Experimental Results in a Phantom
Schiemann et al.
Radiology 2004;232:475-481.
ABSTRACT | FULL TEXT  

Totally endoscopic robotically enhanced coronary artery bypass on the beating heart
Casula et al.
JRSM 2003;96:400-401.
FULL TEXT  

Minimally Invasive Mitral Valve Surgery: From Port Access to Fully Robotic-Assisted Surgery
Donias et al.
ANGIOLOGY 2003;54:93-101.
ABSTRACT  

Neurocognitive Function after Coronary-Artery Bypass Surgery
Mack et al.
NEJM 2001;345:543-545.
FULL TEXT  

Revascularization Methods for Coronary Artery Disease
Donias et al.
JAMA 2001;285:2580-2581.
FULL TEXT