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S ince the introduction of laparoscopic surgery, the promise of lower postoperative morbidity and improved cosmesis has been achieved. Continuous technological developments in instrumentation, access, and optics devices were necessary to allow better surgical results and patient’s safety. In recent times, innovative techniques of natural orif ice transluminal endoscopic surgery (NOTES), laparoendoscopic surgery (LESS), and single-incision laparoscopic surgery (SILS) have been applied as a step toward even more less-invasive procedures. [1] The f inal promises of minimally invasive surgery are improved cosmetic results and earlier postoperative recovery with the same oncological and functional results in comparison to standard laparoscopic methods. Despite this, many hurdles to widespread adoption of these techniques exist, including technical challenges, such as decreased triangulation and unfamiliar viewing angles, and more philosophical issues, such as the necessity of demonstrating benefits of these techniques over conventional laparoscopy. Future research will seek to overcome these obstacles.

Laparoscopic elective colonic operation and concomitant abdominall wall hernia prosthetic repair: Safe and feasible?