A Comparative Study for the Surgical Outcomes of Laparoscopic Adrenalectomies (Transperitoneal Approach vs. Posterior Retroperitoneal Approach) for Small Adrenal Tumors
Sang-Wook Kang, MD, Jong Ju Jeong, MD, Woong Youn Chung, MD. Department of Surgery, Yonsei University College of Medicine Backgrounds: With the development of endoscopic instruments and minimally invasive techniques, the laparoscopic adrenalectomy has been the gold standards for the surgical treatment of small adrenal tumors. Several approaching routes for laparoscopic adrenalectomy such as transperitoneal… Continue Reading
A Comparative Study of Robotic Versus Conventional Open Modified Radical Neck Dissection for the Papillary Thyroid Carcinoma with Lateral Neck Node Metastasis
Sang-Wook Kang, MD, So Hee Lee, MD, Haeng Rang Ryu, MD, Woong Youn Chung, MD. Department of Surgery, Yonsei University College of Medicine Purpose: Since the introduction of endoscopic technique to thyroid surgery, several endoscopic lateral neck dissection trials have been conducted with the aim of avoiding a long cervical scar, and the recent introduction… Continue Reading
A Laparoscopic Approach to Components’ Separation and Incisional/Ventral Hernia Repair
Raymond J Ippolito, MD, Beth A Collins, MD. Hospital of Saint Rapheal New Haven, Connecticut Advances in surgical techniques and improvements in synthetic and biological meshs have allowed for the repair of large and complicated hernias that would not have been attempted in the past. Components' separation has provided for excellant mobilization of the abdominal wall… Continue Reading
A Low-Cost Laparoscopic Simulator Capable of Insufflation
Gregory Fu, Vishnu Ganesan, Brian Slakter, Jennifer Snow, MD, Enrico Danzer, MD, Gregg Lipschik, MD, Kristoffel Dumon, MD, Noel Williams, MD, Andrew Resnick, MD MBA FACS. University of Pennsylvania School of Engineering and Applied Science, University of Pennsylvania Department of Medicine,University of Pennsylvania Department of Surgery Laparoscopic surgery is ubiquitous in the operating room. As… Continue Reading
A New Mesh for Laparoscopic Ventral Hernia Repair
Ashraf A Bakr, Professor Dr. Dr Soliman Fakeeh Hospital Introduction: Laparoscopic ventral hernia repair (LVHR) is becoming the standard procedure for ventral hernia repair. As the technique is refined, search continues for the perfect mesh and the perfect method of fixation. The perfect mesh is thought to have the following criteria• No adhesion formation• No… Continue Reading
A New Strategy of Laparoscopic Splenectomy for Cirrhotic Patients with Hypersplenism
Jota Watanabe, MD, Fumiki Kushihata, MD, Masahide Hatano, MD, Hitoshi Inoue, MD, Yoshikuni Yonenaga, MD, Akifumi Miyoshi, MD, Taiji Tohyama, MD, Kazuo Honda, MD, Yasutsugu Takada, MD. Department of Hepat-Biliary-Pancreatic Surgery and Transplantation, Ehime university college of Medicine Background: Laparoscopic procedure has become the standard approach for most of splenectomy cases, but laparoscopic splenectomy (LS)… Continue Reading
A New Very Low Friction Trocar to Increase Surgical Precision and Improve Aesthetics in Minilaparoscopy
GUSTAVO L CARVALHO, MD PhD, DIEGO L LIMA, STUDENT, ADRIANO C SALES, STUDENT, JOSÉ SÉRGIO N SILVA, STUDENT, FLAVIO AUGUSTO M FERNANDES JUNIOR, MD. University of Pernambuco, School of Medicine, Hospital Oswaldo Cruz, Recife - Brazil 1. Objective of the technology or device: The trocar was designed in order to increase the precision of movement… Continue Reading
A Newly Developed, Intraluminal, Safely-Sealed, Air Supply Unit-Detachable Balloon Unit to Rapidly Wash the Transcolorectal Route for NOTES
HAO XU, MD, Takeshi Ohdaira, MD, Norifumi Tsutsumi, MD, Megumu Mori, MD, Munenori Uemura, Ph D, Makoto Hashizume, MD. Department of Advanced Medicine and Innovative Technology, Kyushu University Hospital Aim: In NOTES for the upper gastrointestinal tract, the colorectal route has a great advantage because the endoscope and the target organ are found on the… Continue Reading
A Novel Reusable Device to Continuously Clean Laparoscopic Optics During Surgery
Konstantinos I Makris, MD, Andrew S Kastenmeier, MD, Christy M Dunst, MD, Mark H Whiteford, MD. The Oregon Clinic Background: The safety and effectiveness of laparoscopic surgery relies on the clarity of the image provided by the rod-lens system and the chip camera. Clear vision ensures precision, uninterrupted flow of the surgical movements and promotes… Continue Reading
A Novel Utility of a New 3-D Hepatectomy Imaging System for Laparoscopic Liver Resection
Fumiki Kushihata, Masahide Hatano, Hitoshi Inoue, Yoshikuni Yonenaga, Akifumi Miyoshi, Taiji Toyama, Yasutsugu Takada, Nobuaki Kobayashi. Ehime University School of Medicine Background: Setting of a cutting line based on an anatomical characteristic of the patient is essential for laparoscopic hepatectomy certain safely, but there is little navigation system and needs much time in detailed examination so… Continue Reading
A Novel Wide-Range Observation Method of the Brain Surface Using A Small Diameter (1.0 mm) Rigid Neuroendoscope According to the Electromagnetic Navigation System for Gastrointestinal Endoscopes: Possibility of Performing Neuroendoscopic Biopsy
Megumu Mori, MD, Takeshi Ohdaira, MD, Kyo Jo, MD, Daisuke Inoue, MD, Munenori Uemura, PhD, Morimasa Tomikawa, MD, Tomio Sasaki, MD, Makoto Hashizume, MD. Department of Advanced Medicine and Innovative Technology / Department of Neurosurgery Background: The treatment for brain tumors, e.g., surgical treatment, radiotherapy, and chemotherapy, is finally selected based on a pathological diagnosis… Continue Reading
A Picture Is Worth a Thousand Words
Wissam Raad, MD MRCS, Hussein Abbas, MD MRCS, Alexander Palesty, MD. The Stanley J. Dudrick Department of Surgery, Saint Mary's Hospital, Waterbury, CT Objective: Work hour limitations have made a detailed sign out essential to ensure patient safety and continuity of care. Patient education is also vital to assist in making an informed decision. Utilizing… Continue Reading
A Small Camera Guidance System for Observing the Abdominal Cavity Filled with Isotonic Water
Rodiyan G Sentanu, Kohei Horiuchi, Takuro Ishii, Masaki Sekine, Wen-wei Yu, PhD, Tatsuo Igarashi, MD. Faculty of Engineering, Chiba University ObjectivesIn SAGES2009, we reported a new surgical system that replaces carbon dioxide gas into isotonic water in laparoscopic surgery (WaFLES). The method is reported to be advantageous in RFA to the liver tumor by Sasaki… Continue Reading
A Surgical Wound Drain Containing an Antimicrobial Coating
Todd Meyer, PhD, Melissa Kelsey, BS. Bacterin International, Inc. ObjectiveThe pronounced incidence of device-associated infections has numerous causes and many corresponding potential solutions. Among these solutions is the coating of externally communicating devices with antimicrobial agents, with the objective of slowing or stopping transfer of exogenous flora from the skin to the interior of a… Continue Reading
A Tool Interface with Force Feedback for the Virtual Basic Laparoscopic Skills Trainer (VBLAST)
Ganesh Sankaranarayanan, PhD, Zhonghua Lu, PhD, Saurabh Dargar, BS, Daniel B Jones, MD MS FACS, Suvranu De, ScD. Rensselaer Polytechnic Institute and Beth Israel Deaconess Medical Center OBJECTIVE: The objective of this research was to develop a tool interface that is capable of providing force feedback for the Virtual Basic Laparoscopic Skills Trainer (VBLaST), a… Continue Reading