ABSTRACT

Fortunately the time when many surgeons and their patients thought that laparoscopy should be a purpose rather than a means to an end has passed. Although the ‘scopic’ approach has become the gold standard for some indications, it has not brought completely new ideas on how to handle surgical diseases, but it has changed our certain approach in order to facilitate the postoperative recovery of the patient. Principally, a surgical disease should be managed by a surgeon. Who, in order to treat his or her patient optimally, is not limited by technology (a scalpel for open surgery or the laparoscope for some of us) rather than trying to find the best treatment modality by chance, which might include techniques still to be envisioned.1 For many of us, laparoscopy is, or was, the first expansion of our rather limited armamentarium.