• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Assessment and COMPARISON OF digital image quality for peritoneoscopy USING THE flexible endoscope AND the rigid LAPAROSCOPE FOR NOTES PROCEDURES

Introduction: Although NOTES peritoneoscopy has been widely performed, the image quality acquired with flexible endoscopes has never been directly compared with the current gold standard of the rigid laparoscope. The purpose of the current study was to assess and compare the image quality derived from the flexible endoscope versus the rigid laparoscope during exploratory peritoneoscopy. Methods: Adult swine (n=2) underwent exploratory peritoneoscopy performed with two different camera sources; 1) standard 30-degree angled Stryker laparoscope and 2) Fuji EN-410WM5/23 flexible enteroscope. The scopes were introduced into the peritoneal cavity through a 12 mm laparoscopic port; two 5 mm ports were place for organ manipulation. The exploratory peritoneoscopy was performed with each camera source in similar fashion with systematic evaluation of the peritoneal surface, spleen, diaphragm, stomach, liver, gallbladder and pelvic structures. The images were captured electronically and then analyzed and graded in a blinded fashion using a digital image quality assessment and comparison scale for peritoneoscopy (DIQACSP) developed by our group. Results: Overall, the digital image quality obtained by both cameras was scored as excellent (DIQACSP score > 28). Specifically, the mean DIQACSP score was 31.35 for the flexible endoscope versus a mean DIQACSP score of 28.64 for the rigid laparoscope (P = 0.193). Unlike the rigid laparoscope, the flexible endoscope was capable of reaching remote areas within the peritoneal cavity such as the dome of the liver and able to examine the area within the lesser sac through the foramen of Winslow, however, the flexible endoscope maneuverability was somewhat technically challenging. As such, several surgeons favored the use of the rigid laparoscope due to its rigidity and familiar lenses angulation. Conclusion: Flexible endoscopes are the ideal tools for NOTES procedures. Our data indicate that flexible enteroscopes can provide excellent digital image quality for diagnostic peritoneoscopy, which is comparable to that obtained with rigid laparoscope. In addition, flexible peritoneoscopy may have unique benefits, such as reaching more remote areas within the peritoneal cavity and allowing direct inspection of the lesser space. However, the lack of stability and complex maneuverability remain important technical challenges that need to be addressed before flexible endoscopes evolve into the perfect tool for NOTES.


Session: Poster

Program Number: P203

View Poster

319

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons