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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Fls Tasks Can Be Used to Identify Ergonomic Differences Between Laparoscopic and Robotic Surgery
Ahmed M Zihni, MD, MPH, Ikechukwu Ohu, MS, Jaime A Cavallo, MD, MPHS, Jenny Ousley, BS, Sohyung Cho, PhD, Michael M Awad, MD, PhD Department of Surgery, Section of Minimally Invasive Surgery, Washington University School of Medicine, St. Louis, Missouri; Department of Industrial and Manufacturing Engineering, Southern Illinois University Edwardsville; Edwardsville, IL INTRODUCTION: It has… Continue Reading
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Evaluating Minimally Invasive Surgery (mis) Assessment Metrics
Sami AbuSneineh, PhD, Brent Seales, PhD University of Kentucky The emerging maturity of camera-based systems has the potential to transform solutions to problems in many different areas, including MIS. In this work we built a novel computer-vision based platform to study the problem of the automatic skills assessment of MIS trainees. This system is built… 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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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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Eightyeven cents slip-knot instead of endo-loop
I. Bulent Cetindag, MD, Abraham Sayon, Chad Gonczy, MD, Imran Hassan, MD Southern Illinois University School of Medicine Laparoscopic disposable instrument have been added to the cost of laparoscopic procedures. Safe and easily applicable modifications of these may help reduce cost. We have start using vicryl ties instead of endoloops by using this technique. Two… Continue Reading
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Driving experiment of an improved prototype hydraulic-driven capsule colonoscope
Kazuhiko Shinohara, MD, PhD Tokyo University of Technology , School of Health Sciences Background and Objective: To minimize discomfort and injury during colonoscope insertion, we developed a prototype hydraulic-driven, capsule-shaped colonoscope and a feasibility study of the hydraulic insertion of the colonoscope was performed. Initial experiments with the first prototype revealed that a weighted capsule… Continue Reading
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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
Comparison of the Time Needed to Complete a Staple Firing Sequence between a Manual and Powered Laparoscopic Stapler
Donald R Peterson, PhD, MS, Drew Seils, MS, Tarek Tantawy, MS, Angela S Kueck, MD University of Connecticut Health Center The poor ergonomic design characteristics of the typical manual laparoscopic stapler pose a significant risk for operator errors. For example, the speed at which a user operates the instrument during staple firing may influence tip… Continue Reading
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Comparision of Single-site and Traditional Laparoscopic Access for Intracorporeal Suturing and Knotting Technique
Istvan Gal, MDPhD, Zoltan Szabo, PhD, Miklos Czobel, MD, Gyorgy Weber, MD, PhD Telki Privat Hospital, Telki Hungary, M.O.E.T. Institute, San Francisco, CA, USA,Department of Surgical Research and Technique,Semmelweis Medical School of Budapest, Hungarye Single-site laparoscopy is recently developed and evolving technique in minimally invasive surgery. Severe physical and ergonomic constrains for the surgeon are… Continue Reading
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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
Application of the HyperEye Medical System for endoscopic low anterior resection
Michiya Kobayashi, MD, PhD, Takayuki Sato, MD, PhD, Takeki Sugimoto, MD, PhD, Ken Okamoto, MD, PhD, Daisuke Nakamura, Ken Dabanaka, MD, PhD, Tsutomu Namikawa, MD, PhD, Kazuhiro Hanazakki, MD, PhD Kochi Medical School INTRODUCTIONWe developed a new imaging system (HyperEye Medical System [HEMS]; MIZUHO, Tokyo, Japan) for the simultaneous capture of near-infrared (NIR) indocyanine green… Continue Reading
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Analysis of Surgeon Posture and Stress-Related Force Patterns during Laparoscopic Surgery
Oliver Varban, MD, Thomas Armstrong, PhD University of Michigan Health System INTRODUCTION: Prolonged static exertions during surgery can lead to stressful postures, musculoskeletal pain and fatigue. We used simulation to evaluate biomechanical stresses associated with laparoscopic surgery. METHODS: Static loads imposed by the weight of body segments were estimated for a range of typical laparoscopic… Continue Reading
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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
A novel covert laparoscopic cholecystectomy by using 2-mm trocar-less needle-shape instruments
Hai Hu, Professor, MD, PhD, Anan Xu, MD, Guoqing Dai, MD, Anhua Huang, MD, Weidong Wang, MD, Jiangfan Zhu, Professor, MD, Bingguan Chen, Professor, MD, PhD Tongji University School of Medicine, Shanghai East Hospital OBJECTIVE: To develop a new covert laparoscopic cholecystectomy in comparison with the single-incision laparoscopic cholecystectomy (SILC). PATIENT AND METHODS: From January… Continue Reading
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