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
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
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
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
Single Incision Laparoscopic Cholecystectomy Using Spider Surgical System
T Katagiri, MD, S Nijhawan, MD, S Majid, MD, B Sandler, MD, T Dotai, MD, O Meireles, MD, M Talamini, MD, S Horgan, MD. University of California , San Diego SILS offers a number of potential advantages compared to laparoscopic surgery. This video shows SILS cholecystectomy using SPIDER surgical system. Session: VidTV3Program Number: V104 Continue Reading
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
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
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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Single Incision Laparoscopic Appendectomy Using Only One Trocar with a Novel Solution for Laparosocope Defogging
Jonathan D Svahn, MD FACS, Matthew R Dixon, MD. Kaiser Permanente East Bay Laparoscopic appendectomy has become the standard of care in many hospitals.LA affords the patient the well known benefits of minimally invasive surgery namelybetter cosmetic results, less pain and quicker recovery. (1) Single incision surgery is increasingly reported and has been described as… 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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Single Incision Laparoscopic Surgery: What Do Patients Really Want?
Kalman Bencsath, MD, Gavin Falk, MD, Matthew Kroh, MD, R. Matthew Walsh, MD, Sricharan Chalikonda, MD. The Cleveland Clinic Introduction:Recent modifications to instruments and technique have allowed for more procedures to be performed with fewer scars, and single incision laparoscopic surgery has become a focused topic. Experimentation with single incision surgeries has been called a… 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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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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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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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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