Microscale surgery on single cells
and small organisms has enabled
major advances in fundamental biology and in engineering biological
systems. Examples of applications range from wound healing and regeneration
studies to the generation of hybridoma to produce monoclonal antibodies.
Even today, these surgical operations are often performed manually,
but they are labor intensive and lack reproducibility. Microfluidics
has emerged as a powerful technology to control and manipulate cells
and multicellular systems at the micro- and nanoscale with high precision.
Here, we review the physical and chemical mechanisms of microscale
surgery and the corresponding design principles, applications, and
implementations in microfluidic systems. We consider four types of
surgical operations: (1) sectioning, which splits a biological entity
into multiple parts, (2) ablation, which destroys part of an entity,
(3) biopsy, which extracts materials from within a living cell, and
(4) fusion, which joins multiple entities into one. For each type
of surgery, we summarize the motivating applications and the microfluidic
devices developed. Throughout this review, we highlight existing challenges
and opportunities. We hope that this review will inspire scientists
and engineers to continue to explore and improve microfluidic surgical
methods.