PMID: 11317443Apr 25, 2001Paper

New technologies in laparoscopic surgery

Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen
A Cuschieri

Abstract

The technology associated with endoscopic surgery continues to evolve as a result of industrial R & D and research within academic surgical departments with interest in surgical endoscopic and remote handling technology. Some of the developments in the last ten years are reviewed. The problem concerning health technology assessment (HTA) in relation to new devices/instrumentation and procedures is discussed. Randomised controlled clinical trials are unsuited for the initial HTA of technology-dependent interventions, and for this reason, an alternative system, controlled stepwise evaluation (CSE) is proposed.

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