A Novel Liver Retractor for Upper Abdominal Laparoscopic Surgery
Hiroshi Kawahira, MD PhD, Hideki Hayashi, MD PhD, Toshiyuki Natsume, MD PhD, Takashi Akai, MD PhD, Yoshihiro Nabeya, MD PhD, Kazufumi Suzuki, MD PhD, Mikito Mori, MD PhD, Daisuke Horibe, MD PhD, Hisahiro Matsubara, MD PhD. Research Center for Frontier Medical Engineering, Chiba University (1) Objective of this studyLaparoscopic assisted gastrectomy (LAG) has been accepted… Continue Reading
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A Prospective, Single-Center Investigation of the Safety and Performance of the Endo GIA™ Reloads with Tri-Stapletm Technology and Endo Gia™ Ultra Universal Staplers in a Gastric Bypass Procedure
Samer G Mattar, MD, Frank Bendewald, MD, Sarah Dutkevitch, RN OCN, Heather Kemp, MBA CCRP. Indiana University Objective: The objectives of this clinical trial are to assess in a pilot, single center, prospective, non-randomized setting the overall performance and safety of the Endo GIA TM Reloads with Tri-StapleTM Technology & Endo GIA™ Ultra Universal Staplers… Continue Reading
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A Randomized Comparison of Laparoscopic, Magnetically Anchored, and Flexible Endoscopic Cameras On Ex-Vivo and In-Vivo Performance and Workload for Laparoscopic and Single Incision Surgery
Nabeel A Arain, MD MBA, Erin M Webb, BS, Jeffrey Cadeddu, MD, Sara Best, MD, Richard Bergs, MS, Deborah Hogg, BS, Raul Fernandez, PhD, Thomas Roshek, MD, Victoria Chang, BBA, Daniel J Scott, MD. University of Texas Southwestern Medical Center, Southwestern Center for Minimally Invasive Surgery, Dallas, Texas Introduction: The purpose of this study was… 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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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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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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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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Drainoscopy
Sam Atallah, MD, Teresa DeBeche-Adams, MD, Matthew Albert, MD, Sergio Larach, MD. Florida Hospital To determine the feasibility of using a standard post-operative drain as an access point for the new technique of drainoscopy. Methods and Procedures: Drainoscopy is demonstrated in the operating room on a patient who has undergone a laparoscopic, hand-assisted APR. A… Continue Reading
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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Heated Versus Cold Insufflation for Minimally Invasive Abdominal Surgery Has Minimal Benefit On Patient Outcomes
Namdar Manouchehri, MD MSc, Daniel W Birch, MD FRCSC FACS, Xinzhe Shi, Ghassan Hadi, MD, Shahzeer Karmali, MD FRCSC. University of Alberta Background: Intraoperative hypothermia during both open and laparoscopic abdominal surgery may be associated with adverse events. For laparoscopic abdominal surgery, the use of heated insufflation systems for establishing pneumoperitoneum has been described to… Continue Reading
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Implementation of a Preoperative Checklist in Laparoscopic Surgery Reduces Errors and Improves Efficiency
Cas Van 't Hullenaar, MD, Alfons Pomp, MD PhD Professor, Esther Consten, MD PhD, Gregory Dakin, MD PhD, Inne Borel Rinkes, MD PhD Professor, Ivo Broeders, MD PhD Professor. New York Presbyterian Hospital, Meander Medical Center Amersfoort, University Medical Center Utrecht Abstract Background: Laparoscopic surgery has increased the complexity of the operating room (OR) environment… Continue Reading
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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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Laparoscopic Overhead Illumination System Induces Three-Dimensionality
Akihiro Takai, MD, Yasutsugu Takada, MD, Satoshi Teramukai, MD, Hideki Motomura. Department of Surgery, Ehime University, Japan, Translational Research Center, Kyoto University Hospital, Japan, Faculty of Ehgineering, Ehime University, Japan INTRODUCTION: Of the many mechanisms used by the visual system to recover the third dimension, the ability to exploit shading is probably the most primitive.… Continue Reading
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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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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