A method for creating an anatomic
working space in a body for a minilaparotomy procedure includes forming a minilaparotomy opening in the body, forming a trocar opening in the body, inserting a trocar into the trocar opening, introducing a
telescope through the trocar to observe a first tissue to be surgically treated, inserting at least one first piercing
retractor into the body through the opening, wherein the piercing
retractor has first and second end portions,
puncturing a wall of the body by the first end portion of the first piercing
retractor, and lifting the wall of the body and moving around by using the first piercing retractor until a desirable anatomic
working space is created in the body. It is emphasized that this abstract is provided to comply with the rules requiring an abstract that will allow a searcher or other reader to quickly ascertain the
subject matter of the technical disclosure. It is submitted with the understanding that it will not be used to interpret or limit the scope or meaning of the claims.