Precision and meticulous hemostasis is essential requirement in minimal access surgery (MAS). Endoscopic dissection, in contrast to dissection in conventional surgery, possesses several limitations. Three dimensional direct visions are replaced by two dimensional indirect visions in laparoscopic surgery. Illumination and the video image quality are still limited despite recent advances in video systems such as digitization and three chip endocamera. Movement of the functional tip of laparoscopic instruments is restricted along with the kinematics response. The loss of tactile sensation in endoscopic surgery is yet another limiting factor.