Minimally Invasive Surgery (MIS) decreases risk and shortens post-surgical recovery time. Improved minimally invasive techniques, like laparoscopic surgery, are most effective when the tools are flexible, sophisticated, and incorporate advanced imaging techniques.
New devices, better optics and creative multimodal approaches to disease management have set the stage for the next phase of less invasive surgical therapy.
CIMIT’s Minimally Invasive Surgery progam is focused on making surgery safer and more precise, exploring the next generation of less invasive surgical therapy. Recent projects involve developing tools and procedures for Natural Orifice Translumenal Endoscopic Surgery (NOTES), which could make surgery completely free of incisions, while reducing pain and disability. Through the NOTES initiative, complex surgeries could eventually become outpatient procedures.
Medical News Today: World First: Rectal Tumor Removed Through Anus, Avoiding Painful Abdominal Incisions
VIDEO: Transanal Endoscopic Microsurgery (TEM)
Additional Coverage on TEM Surgery: EndoNurse, EurekAlert!, LittleAbout, blog.taragana.com, Procto-Med.com, HealthCareTips.org
FY 2010 - 2008
Minimally Invasive Surgery Projects
|YEAR||PRINCIPAL INVESTIGATOR||INSTITUTION||PROJECT TITLE|
|2010 - 2008||David Rattner, MD, and Chris Thompson, MD, MSc||Massachusetts General Hospital & Brigham and Women’s Hospital||Strategic Project on Natural Orifice Translumenal Endoscopic Surgery|
|2008||Peter Masiakos, MD||Massachusetts General Hospital||Development of an Endoscopic Fiberoptic Device and Biodegradable Scaffolds for Minimally Invasive Closure of Tracheosophageal Fistulas and Patent Foramina|
|2008||Nathan McDannold, PhD||Brigham and Women’s Hospital||Herceptin delivery to breast cancer metastases in the central nervous system via focused ultrasound-induced blood-brain barrier disruption|
|2008||Marvin Ryou||Brigham and Women’s Hospital||Systematic Mapping of NOTES Access Sites in Human Cadavers|
|2008||Marvin Ryou||Brigham and Women’s Hospital||Magnetic Retraction for Advanced NOTES Procedures|
Recent Publications by CIMIT Investigators
|Willingham, F. F., Gee, D.W., Lauwers, G., Brugge, W. R., Rattner, D. W.||Surg Endosc.
|Natural Orifice Transesophageal Mediastinoscopy and Thoracoscopy||2008|
|Alam, H. B., Shults, C., Ahuja, N., Ayuste, E. C., Chen, H., Koustova, E., Sailhamer, E. A., Li, Y., Liu, B., de Moya, M., Velmahos, G. C.||Resuscitation
Sep 4, 2007
|Impact of Resuscitation Strategies on the Acetylation Status of Cardiac Histones in a Swine Model of Hemorrhage||2007|
|Sailhamer, E. A., Chen, Z., Ahuja, N., Velmahos, G. C., de Moya, M., Rhee, P., Shults, C., Alam, H. B.||J Am Coll Surg 204(4):642-53||Profound Hypothermic Cardiopulmonary Bypass Facilitates Survival without a High Complication Rate in a Swine Model of Complex Vascular, Splenic, and Colon Injuries||2007|
|Velmahos, G. C., Spaniolas, K., Duggan, M., Alam, H. B., Tabbara, M., de Moya, M., Vosburgh, K.||J Trauma 63(2):285-8, discussion 288-90||Abdomainal Insufflation for Control of Bleeding After Severe Splenic Injury||2007|
|Stahl, J.E., Goldman, J.M., Rattner, D.W., Gazelle, G.S.||J. Surg Res.||Related Articles, Links Adapting to a New System of Surgical Technologies and Perioperative Processes Among Clinicians||2007 Jan. 31 (Epub ahead of print)|
|Ryou, M., Rattner, D., Pai, R., Thompson, C.||Surg Endosc. 12:677-80||Evaluating an Optimal Gastric Closure Method for Trans-Gastric Surgery||2007|
|Pai, R., Fong, D.G., Bundga, M.E., Odze, R.D., Rattner, D.W., Thompson, C.C.||Gastrointestinal Endoscopy 64:428-34||Transcolonic endoscopic cholesystectomy: a NOTES survival study in a porcine model.||2006|
|Rattner, D.W.||Surg Endosc 20:1802-8||Innovation, Disruption and the perils of success.||2006|
|Rattner, D.W., Kalloo, A.||Surg Endosc. 20:329-33||The ASGE/SAGES Working group on Natural Orifice Transluminal Endoscopic Surgery WHITE PAPER||2006|
Minimally Invasive Surgery at the
CIMIT Forum and Past Events
|Forum: Minimally Invasive Surgery||May 27, 2008||
Ali Tavakkolizadeh, MB, BS: Harvard Medical School
Dennis Fowler, MD:
|Forum: Current Therapies for BPH and the Search for Smart Engineering Solutions||Feb. 12, 2008||
Shahin Tabatabaei, MD: MGH
Kevin Loughlin , MD: BWH
|Forum: Challenges and Opportunities in Office-Based Medicine||Oct. 9, 2007|| Keith Isaacson, MD; HMS, BWH, BWH
Fred Shapiro, DO; HMS, BIDMC
Beverly Philip, MD; HMS, BWH
Lisa Warren, MD; MGH
Minimally Invasive Surgery News
|World First: Rectal Tumor Removed Through Anus, Avoiding Painful Abdominal Incisions||Medical News Today||Dec. 3, 2009|
|wbur.org||June. 22, 2009|
|A New Way to Perform Surgery||KTVU Channel 2||Jul. 15, 2008|
|Surgery Revolution||Philadelphia Bulletin||May 15, 2008|
|Open Wide. No, Wider. Are we ready for an era of 'natural-orifice surgery'?||Newsweek||Apr. 14, 2008|
|Scar-Free Surgery: In New Operation, Doctors Insert Tools Through Natural Orifices, Keeping Skin Intact||Boston Globe||Jan. 7, 2008|
|Novel NOTES Causes Docs to Rethink Incision Decision||Boston Business Journal||Jul. 13, 2007|
|Hype, Theories on NOTES Abound, But Where It Is All Headed Is Anyone’s Bet (PDF)||Gastroenterology & Endoscopy News||Jul. 2007|
|A New Step in Scarless Surgery||Proto||Summer 2007|
Video: CIMIT Life-Saving Innovation in Early Stage of Trauma.
VIDEO Q&A with David Rattner, MD:
» What is NOTES?
» NOTES vs. Endoscopy
» What is TEM?
» TEM Procedure and Collaboration
» What is the Boston-based NOTES Initiative?
» Is NOTES an Improvement over Traditional Laparoscopic Procedures
» What Procedures Might Benefit from the NOTES Approach?
» What is a Typical Minimally Invasive Thoracic Procedure?
» What is the Potential for NOTES?
» NOTES vs. Single-Port Surgery
» The Evolution of NOTES
» The Role of CIMIT
» When might Patients Benefit from NOTES?
Press Releases &
» July 2010: NOTES Progress Report