LEVELS OF MICS – Carpentier Loulmet Nomenclature.

  • Level I: Direct Vision

                      Mini incision 10-12cm.

  • Level II: Video Assisted

                     Micro incision 4-6cm.

  • Level III: Video directed & Robot Assisted

                     Micro and Port incision 1 – 2cm.

  • Level IV: Robotic Tele manipulation

                     Port incision 1cm.

Level I – Mini incision & Direct Vision

  • Mini Incision 10-12cm.
  • Direct Vision.
  • Simple modifications of standard techniques and instruments.
  • It served as a new ” Comfort Zone “ for transition.

Level II – Micro incisions & Video Assisted Vision

  • Micro incision 4-6cm.
  • Rely on Video assisted vision.

Level III & IV – Micro or port incision & Video directed, Robotic operation.

  • Requires advanced instrumentations.
  • Voice activated robot ( AESOP 3000 ) for video control.
  • Computer assisted robotic systems.
  • Telemanipulation – last step towards the Totally Endoscopic operation.
  • Da Vinci System of Robotic Surgery.