Quite an undervalued post will that amount of info in there.
What I know and notice and that the 'younger' generation of surgeons have way better skills in laparoscopy due to their videogaming experience. The ability to look somwhere and use your hands somewhere else, using 2d for 3d.
To me to be honest, this piece is too technical, but thats due to my English skills, and not your writing skills.