Course overview
The course will build on what was taught in Minimally Invasive Surgery Theory I. It will focus on methods of access to working spaces. Topics will include ports and instruments required for entry to working spaces and the effect that this has on the physiology and immunology of the human body. For example, students will learn about the physiology of the peritoneum during insufflations. The effects of different insufflations gasses will be considered. A variety of access techniques such as HALS, SILS, NOTES and robotics will be discussed. In addition, a leading expert will teach about how anaesthesia interacts with the various topics covered in the term.
Course learning outcomes
- Describe the anatomy of the abdominal wall, muscles, blood vessels and nerves.
- Describe the retroperitoneum and relevant anatomy to laparoscopic trocar entry including the anatomical basis of complications.
- Describe the anatomical basis of preperitoneal and retroperitoneal working space creation.
- Demonstrate a clear understanding of laparoscopic ports.
- Explain and demonstrate how to set up for optimal ergonomic benefits in MIS.
- Describe the oncological considerations in MIS.
- Be able to communicate how robotics may improve the ability to operate in areas with limited access.
- Describe the anaesthetic implications in relation to MIS.
- Describe the issues with pain and measures to reduce the downsides and improve pain management in MIS procedures.
- Be familiar with and understand the drivers of innovation and impediments.