Epistemis

Minimally Invasive Surgery — Surgical Reference Treatise

Surgery · Clinical Specialties

How it begins

From the biophysical principles of optics and biomechanics of pneumoperitoneum, to the integration of multitasking robotic systems, metabolic flows of critical patients, advanced energy sources, specific procedures and holographic navigation assisted by Artificial Intelligence.

What it covers

  1. Historical evolution, principles and biophysical bases of the CMI
  2. · Biophysical bases of optical transmission and imaging systems
  3. · Image acquisition and processing systems
  4. Physiology of pneumoperitoneum: systemic repercussions
  5. · Hemodynamic and cardiovascular effects
  6. · Pulmonary effects and mechanical ventilation
  7. · CO₂ absorption and hypercapnia
  8. · Effects on renal, splanchnic and cerebral function
  9. Equipment, instruments and advanced energy sources
  10. · Electrosurgical Systems: Monopolar vs. Bipolar
  11. · Advanced energy sources for vessel sealing and cutting
  12. Accesses and initial instrumentation in the abdominal cavity
  13. · Abdominal access techniques: Open vs. Closed
  14. · Anatomy of the abdominal wall applied to the insertion of secondary trocars
  15. · Insufflation dynamics and insufflator parameters
  16. Robotic surgery: platforms, kinematics and ergonomics
  17. · Architecture of robotic platforms (e.g. Da Vinci™)
  18. · Degrees of freedom and Endowrist™ technology
  19. · Shake filter and motion scaling
  20. · Market evolution: New robotic platforms
  21. Thoracoscopy and anatomical VATS/RATS
  22. · Physiology of selective monopulmonary ventilation
  23. · Approach techniques in VATS: Multiportal versus Uniportal
  24. · Systematics of an Anatomical Pulmonary Lobectomy by VATS
  25. Endovascular surgery and image-guided intervention
  26. · Percutaneous Seldinger technique
  27. · Basic instruments: Guides, Catheters and Luminal Energy Systems
  28. · Therapeutic techniques: Angioplasty, Stenting and Embolization Systems
  29. NOTES and SILS: evolution towards the absence of visible scars
  30. · Single Incision Laparoscopic Surgery (SILS)
  31. · Transluminal Endoscopic Surgery through Natural Orifices (NOTES)
  32. · POEM: The intraluminal NOTES paradigm
  33. Specific intraoperative complications of CMI and their management
  34. · Air embolism due to CO₂
  35. · Major vascular and visceral injuries
  36. · Criteria for conversion to open surgery
  37. Clinical applications in General and Digestive System Surgery
  38. · Laparoscopic Cholecystectomy and the Critical View of Safety (Strasberg)
  39. · Colorectal Surgery: Total Mesorectal Excision (TME)
  40. · Obesity and Metabolic Surgery: Roux-en-Y Gastric Bypass
  41. Applications in Gynecology, Urology and other specialties
  42. · Urology: Robot-Assisted Radical Prostatectomy (RARP)
  43. · Gynecology: Total Hysterectomy and Pelvic Lymphadenectomy
  44. · Other specialties: Arthroscopy of major joints
  45. Anesthesia, monitoring and ERAS protocol in CMI
  46. · Protective intraoperative mechanical ventilation strategies
  47. · Advanced non-invasive hemodynamic monitoring
  48. · ERAS accelerated recovery protocols applied to the CMI
  49. Aspects of training, training, virtual reality and simulation
  50. · FLS Curriculum (Fundamentals of Laparoscopic Surgery)
  51. · Advanced Virtual Reality Simulators
  52. Technological innovation, artificial intelligence and the future of the CMI
  53. · Artificial vision and intraoperative Artificial Intelligence
  54. · Augmented Reality and Holographic Surgical Navigation
  55. · Levels of autonomy in robotic surgical systems
  56. Contraindications, patient selection and pre-surgical integration
  57. · Absolute and relative contraindications of pneumoperitoneum
  58. · Pre-surgical integrative evaluation

The complete study guide is in the app

This page summarizes the outline. The full interactive study guide —with high-yield diagrams, clinical tables, and board review cases— can be read inside Epistemis, completely offline and ad-free.

Subject
Surgery
Category
Clinical Specialties
Type
Study Guide
Sections
58
Reviewed
2026-08-02
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