Single Site Laparoscopic Cholecystectomy with Transenterix Spider: A Novel Device and Surgical Technique
Chan W Park, MD, Aurora D Pryor, MD. Duke Endosurgery, Department of Surgery, Duke University Single site laparoscopic cholecystectomy is one of the more commonly performed single site/access surgeries today, and is successfully accomplished with a variety of different techniques. Single site surgery presents some unique challenges, and a number of surgical devices and instruments… Continue Reading
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Are Minilaparoscopic (needlescopic) Trocars of 2mm and 3 mm Without Valve and Sealing Membrane a Viable Option?
GUSTAVO L CARVALHO, MD PhD, ADRIANO C SALES, STUDENT, JOSÉ SÉRGIO S SILVA, STUDENT, REBECA G ROCHA, STUDENT, DIEGO L LIMA, STUDENT, FLÁVIO A JÚNIOR, MD. UNIPECLIN, Faculty of Medical Sciences, University of Pernambuco; Recife; Brazil INTRODUCTION: This study aims to verify the usefulness of a new model of minilaparoscopy trocar that do not have… Continue Reading
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Single Port Cholecystectomy: A Standard Technique
Michael Kia, DO, Christine Lee. Michigan State University, Mclaren Regional Med Ctr, Genesys Regional Med Ctr The video is a description of a novel technique in single port surgery. Using a four port single access trocar system, a methodology for single port cholecystectomy is described. The procedure is performed through a pre-measured 15mm fascial defect.… Continue Reading
Single Port Laparoscopic Cholecystectomy with Transenterix Spider: Early Success in Humans
Chan W Park, MD, Hector R Herrera Cabral, MD, Roberto J Manson, MD, Aurora D Pryor, MD. Duke Endosurgery, Department of Surgery, Duke University Introduction: Single port cholecystectomy is one of the more commonly performed single site/access surgeries and is accomplished with a variety of techniques. However, single port surgery is often limited by poor… Continue Reading
In Vivo Assessment of an Absorbable and Non-Absorbable Knotless Barbed Suture for Laparoscopic Single-Layer Enterotomy Closure: A Clinical and Biomechanical Comparison Against Non-Barbed Suture
Philip Omotosho, MD, Basil Yurcisin, MD, Eugene Ceppa, MD, Jeffrey Miller, MS, David Kirsch, MS, Dana Portenier, MD. Duke University Medical Center Background: Laparoscopic intracorporeal suturing and knot tying is a complex skill that requires repeated deliberate practice to master. A novel self-anchoring barbed suture material that does not require knot tying can eliminate knot… Continue Reading
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Endoscopic Clip-Assisted Nasoenteral Post-Pyloric Feeding Tube Placement
Albert Amini, MD, John Watt, MD, John Kettelle, MD. University of Arizona College of Medicine Introduction: Feeding tube placement can be difficult in patients with abnormal anatomy after surgery. In addition, some patients cannot tolerate gastric feedings and require the feeding tube to terminate distal to the pylorus, eliminating the possibility of using percutaneous gastrostomy… Continue Reading
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The Concept and Development of a Single Port Access Device
David S Edelman, MD. Doctor's Hospital, Coral Gables, Florida Many surgeons have excellent ideas that would enhance the progress of surgical technology. However, there is little published information available on the protection of intellectual property. A single access port was designed and the development process is described.In early 2008, the author met with a chemical-biomedical… Continue Reading
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A SILS-Specific Camera System
Jonathan A Schoen, MD, Zachary C Mills, Benjamin S Terry, Mark E Rentschler, PhD. University of Colorado at Boulder, University of Colorado at Denver INTRODUCTION Single Incision Laparoscopic Surgery (SILS) can be performed entirely through the navel reducing patient trauma, recovery time, possibilities of infection, post-operative pain, and scaring. However, SILS is limited in its… Continue Reading
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Randomized Comparison of Straight Versus Articulating Instruments for Single-Incision Laparoscopy (SIL)
Byron F Santos, MD, Taylor J Reif, BS, Nathaniel J Soper, MD, Eric S Hungness, MD. Northwestern University Department of Surgery, Chicago, IL. Introduction: The increased technical difficulty of SIL compared to conventional laparoscopy raises concerns about its safety, and remains a barrier to widespread adoption. Novel instruments have the potential to improve SIL performance,… Continue Reading
Residual Heat of Laparoscopic Energy Devices – How Long Must the Surgeon Wait Until Touching Additional Tissue
Henry Govekar, MD, Thomas N Robinson, MD, Greg V Stiegmann, MD, Francis T McGreevy, BSEE. University of Colorado School of Medicine Introduction: Energy devices are essential laparoscopic tools. Residual heat is defined as the increased instrument temperature after energy activation is completed. The purpose of our study was to determine how long a surgeon needs… Continue Reading
Converting to High Definition May Improve Operative Stress But Does Not Improve Outcomes
A Gridley, MD, T Kang, MD, J M Bouquoi, RN, W S Richardson, MD. Ochsner Clinic Foundation Introduction: High definition increases clarity and detail of images compared to the standard laparoscopic equipment. This increased definition of anatomy has the potential to optimize laparoscopic procedures improving outcomes and operating room times. Aim: Investigate if Operating room… Continue Reading
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Use of the Endoflip Catheter to Size Sleeve Gastrectomies and Gastric Imbrications
Daniel Cottam, MD, Sunil Sharma, MD, Christine Richards, MD, Mahendra Narwaria, MBBS. Surgical Weight Loss Center of Utah Introduction: Gastric Imbrication and Sleeve Gastrectomy are both procedures which utilize bougies to size the new stomachs. However, bougies don't allow the surgeon to tell if the stomach is too tight or too big. Bougies also does… Continue Reading
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The Feasibility of 2mm Needle Forceps for Laparoscopic Cholecystectomy
Akiko Umezawa, MD, Hideharu Shimizu, MD, Yosuke Seki, MD, Yuka Negishi, MD, Kazunori Kasama, MD FACS, Yoshimochi Kurokawa, MD. Minimally invasive surgery center, Yotsuya Medical Cube Objective: To determine the feasibility and limit of needle forceps for laparoscopic cholecystectomy (LC) and its usability for single incision laparoscopic cholecystectomy (TANKO) and choledocholithotomy. Materials and methods: During… Continue Reading
Optical Trocar Peritoneal Entry Is Safe and Compares Favorably to the Open Technique
Vedra A Augenstein, MD, Ryan C Phillips, Thomas C Yonce, Dimitrios Stefanidis, MD PhD FACS. Carolinas Medical Center Background: The optimal method of intraabdominal access during laparoscopic surgery is still being debated. Access with optical trocars has been demonstrated to be faster, associated with a lower incidence of wound infections, trocar hernias and smaller incisions… Continue Reading
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Comparative Study of Three Reinforcement Materials On an Endo Gia™ Reload with Tri-Staple™ Technology
*Andrew J Duffy, MD, **Dwight Bronson, MS, **Jennifer Diederich, MS, **Stephanie Marcucio, MPH, **Nadia Neave, **William Mulligan, ASEE, **Elizabeth Lalime, BS. *Yale University School of Medicine, New Haven, CT, **Covidien, North Haven, CT INTRODUCTION: Surgical stapling device technology continues to evolve. Many bariatric and colorectal surgeons use staple line reinforcement in an effort to reduce… Continue Reading
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