Comprehensive Assessment of Skill-related Physical and Cognitive Ergonomics Associated with Robotic and Traditional Laparoscopic Surgeries
Gyusung Lee, PhD, Mija Lee, PhD, Tameka Clanton, MS, Michael Marohn, DO Johns Hopkins University School of Medicine, Baltimore, MD; University of Maryland School of Medicine Introduction: We conducted the current study to investigate how physical and cognitive workloads exhibited by surgeons would differ between robotic and laparoscopic surgeries and whether any ergonomic differences would… Continue Reading
Blend Mode Reduces Unintended Thermal Injury By Monopolar Instruments: A Randomized Controlled Trial
Edward L Jones, MD, Thomas N Robinson, MD, Paul N Montero, MD, Henry R Govekar, MD, Gregory V Stiegmann, MD University of Colorado School of Medicine, Aurora, CO INTRODUCTION: The monopolar “bovie” is used in virtually every laparoscopic operation. When active, the bovie emits radiofrequency energy that can cause unintended thermal injury to nearby structures… Continue Reading
The Ergonomics of Women in Surgery
Erica R Sutton, MD, Myra Irvin, BS, Craig Ziegler, MA, Gyusung Lee, PhD, Adrian Park, MD Hiram C. Polk Jr. Department of Surgery, University of Louisville School of Medicine, Louisville, KY, Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, Department of Surgery, Anne Arundel Medical Center, Annapolis, MD Introduction: We hypothesize… Continue Reading
A Randomised Controlled Trial to Evaluate the Impact of Instrument and Laparoscope Length on Performance and Learning Curve in Single Incision Laparoscopic Surgery
Sathyan Balaji, BSc, Pritam Singh, MBBS, MA, MRCS, Mikael H Sodergren, MBBS, MRCS, PhD, Harry Corker, BSc, Richard M Kwasnicki, BSc, Ara Darzi, MBBS, MD, KBE, FMedSci, FRCS, FACS, Paraskevas Paraskeva, MBBS, PhD, FRCS Imperial College London, London, United Kingdom Introduction: This randomised controlled trial evaluated the effect of varying instrument length on simulated Single… Continue Reading
Single incision cholecystectomy: Comparative study between Laparoscopic, Robotic and Spider Platforms.
Anthony M Gonzalez, MD, FACS, FASMBS, Juan-Carlos Verdeja, MD, FACS, Jorge R Rabaza, MD, FACS, FASMBS, Rupa Seetharamaiah, MD, FACS, Charan Donkor, MD, FACS, Rey Romero, MD, Radomir Kosanovic, MD, Francisco Perez-Loreto, MD, Jonathan Arad, MD Baptist Health South Florida, Florida International University Herbert Wertheim College of Medicine INTRODUCTION: The benefits of Single Incision Cholecystectomy… Continue Reading
New concept for Laparoscopic surgery using perbend instruments and flexible trocar,
M. Yamagata, MDPhD, M. Matsuda, MDPhD, S. Hayashi, MD, J. Sugiyama, MD, Y. Morishita, MD, K. Satoh, MD, S. Morita, MD, T. Takayama, MD, PhD Department of Digestive surgery, Nihon University Laparoscopic surgery were becoming to routine procedure in clinical fields. However, instrumentation of these operation include single port surgery was not enough to developed.… Continue Reading
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Endoscopic Thyroidectomy and Robotic Thyroidectomy: Utilizing the thyroid space creator
Suthep Udomsawaengsup, MD, Kanokkan Tepmalai, MD, Ajjana Techagumpuch, MD, Suppa-ut Pungpapong, MD, Chadin Tharavej, MD, Patpong Navicharern, MD Chula Minimally Invasive Surgery Center, Chulalongkorn University, Bangkok, Thailand BACKGROUND: Endoscopic thyroidectomy has been accepted as an option for a benign small thyroid lesion. There are two endoscopic approaches in our center. First is trans-axillary technique for… Continue Reading
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Surgeons perform more proactive eye movements than novices when performing laparoscopic surgery
Bin Zheng, MD, PhD, Xianta Jiang, Msc, Geoffery Tien, Msc, M. Stella Atkins, PhD University of Alberta Objective: Eye-tracking studies reveal more and more evidence of surgeons’ expertise level. Novice surgeons often track the movement of surgical instruments while more experienced surgeons focus their gazes on the operating target. Proactive eye movement has been recognized… Continue Reading
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Prospective Evaluation of Barriers to Microlaparoscopy
William C Beck, MD, Rebeccah Baucom, MD, William J Lee, MS, Michael D Holzman, MD, MPH, Kenneth W Sharp, MD, Benjamin K Poulose, MD, MPH Vanderbilt University Medical Center INTRODUCTION: Microlaparoscopy offers potential advantages of improved cosmesis and less postoperative discomfort when compared to traditional laparoscopy. As with any emerging new approach, frequent concerns include… Continue Reading
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The last stapler dilemma in Laparoscopic Sleeve Gastrectomy
Kanokkan Tepmalai, MD, Warit Utanwutipong, MD, Ajjana Techagumpuch, MD, Mahadevan D. Tata, MD, Suthep Udomsawaengsup, MD, Suppa-ut Pungpapong, MD, Chadin Tharavej, MD, Patpong Navicharern, MD Chula Minimally invasive Surgery Center, Department of surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand 10330. Introduction: Laparoscopic Sleeve Gastrectomy (LSG) has increased in number over the past decade. This… Continue Reading
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Long-term follow up of a new, hybrid technique for mini-laparoscopic cholecystectomy: Implications for the community-based surgeon
Florias A Morfesis, MD, FACS, Brian P Rose, BS Owen Drive Surgical Clinic of Fayetteville Introduction: The use of mini-laparoscopy cholecystectomy has been previously well described; however its application in a community-based setting can be regarded as inefficient. These abstract reports on long-term follow-up data from a previous case series on a modified hybrid technique… Continue Reading
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3D Imaging in Laparoscopy: Improving Training and Skill Acquisition for Junior Trainess
Yuk Man Kan, MB, ChB, FRCSedin, FRCSgensurg, Chin Li Lee, MBBS, MRCS, Wei Keat Cheah, MBBS, FRCS, Choon Sheong Seow, MBBS, FRCSgensurg, Daniel E Tan, MBBS, FRCS, Jonathan S Foo, MBBS, MRCS Department of General Surgery, Alexandra Hospital, Singapore Introduction:Conventional laparoscopic camera consists of a 2-Dimensional (2D) system and although there is improvement in graphics… Continue Reading
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Impact of Modern High Frequency Electrosurgical Unit on Laparoscopic Heller Myotomy for Achalasia: A Historical Comparison
Masashi Hirota, MD, Kiyokazu Nakajima, MD, FACS, Tsuyoshi Takahashi, MD, Makoto Yamazaki, MD, Hiroshi Miyata, MD, Yukinori Kurokawa, MD, Shuji Takiguchi, Masaki Mori, MD, FACS, Yuichiro Doki, MD Department of Gastrointestinal Surgery, Osaka University Graduate School of Medicine, Osaka, Japan INTRODUCTION: One of the technical challenges in laparoscopic Heller myotomy (LHM) for achalasia is to… Continue Reading
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A Comparison of the Ligasure and Harmonic Scalpel in Laparoscopic Gastrectomy
You-Na Kim, MD, Sang Yong Kim, MS, Hyoung-Il Kim, MD Yonsei University, College of Medicine IntroductionThe purpose of this study was to compare LigaSure device with harmonic scalpel in the laparoscopic gastrectomy for gastric cancer.Methods and proceduresA retrospective analysis of prospectively maintained data was performed on patients who underwent laparoscopic gastrectomy using the LigaSure device… Continue Reading
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Ergonomic Issues in Minimally Invasive Surgery: Is It Time to Educate the Educators
Alok K Gupta, MD, Namrata Singhania, MD St Agnes Hospital, Baltimore, MD; Franklin Square Hospital, Baltimore, MD Minimally invasive surgery (MIS) has brought great improvements to patient care and has become the standard of care for procedures like Laparoscopic Cholecystectomy. Since its introduction 20 years ago, the field has undergone significant advancements with improvements in… Continue Reading
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