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 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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Usefulness of the Curved Hand Instrument in Single Port Surgery
Hisae Aoki, MD, Toshiyuki Mori, MD PhD, Nobutsugu Abe, MD PhD, Osamu Yanagida, MD PhD, Tadahiko Masaki, MD PhD, Masanori Sugiyama, MD PhD. Department of Surgery, Kyorin University, School of Medcine Background & Objective : Single port surgery has widely spread and many technical studies have been reported in the past few years, including parallel… Continue Reading
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Single Incision Laparoscopic Surgery-Innovative Traction/retraction Techniques
Gadiyaram Srikanth, MCh, Deepak Dubey, Neel Shetty. Manipal Institute of Liver and Digestive Diseases Background: Single incision laparoscopic surgery (SILS) has opened up new frontiers in minimally invasive surgery. However, several technical challenges call for innovations to facilitate a variety of maneuvers during these procedures. We herein describe various innovations done by us to achieve… 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 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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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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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 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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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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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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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