Intelligent Imaging in Robotic-Assisted Liver Resection
Kevin M Sullivan, MD1, Kevin P Labadie, MD1, Kyle Miller, MD, MBA2, James O Park, MD1. 1University of Washington, 2Intuitive SurgicalBackground: Current standards of care in the preoperative planning for liver resection includes two dimensional (2D) cross sectional multiphase, computed tomography (CT) or magnetic resonance (MR) imaging to determine the type of resection based on… Continue Reading
Using the best wearable sensor in facilitating hands-free, sterile control in the operating room: the TedTrial.
Marilou Jansen, MD1, H.A.W. Meijer, MD1, T.P. Grantcharov, Prof2, M.P. Schijven, Prof1. 1Amsterdam UMC, location AMC, 2St. Michael's HospitalObjective: Interaction with electronically controlled operating room (OR) systems embedded in modern surgical environments is everyday practice for surgeons performing Minimally Invasive Surgery (MIS). While there is a non-sterile operating nurse available in the OR, capable of… Continue Reading
5mm Port Laparoscopic Appendectomy A Summary of Clinical Experience in 12 Patients
Geoffrey L Bloomfield. Upper Chesapeake Medical CenterObjective: The development of a 5mm diameter stapling device has made it possible to complete laparoscopic appendectomy with a maximum port size of 5mm. This paper presents a 12 patient case series using the JustRight 5mm Stapler in laparoscopic appendectomy across a broad range of patient sizes and weights. … Continue Reading
Design and utilization of a locking jejunostomy balloon cap to prevent overinflation events.
Matthew D Burstein, MD, PhD, Kevin El-Hayek, MD. Cleveland Clinic FoundationObjective of the device: Overinflation of a jejunostomy tube balloon occurs at a significant rate based on our experience with clinical tube dysfunction and incidental discovery on abdominal imaging during admission or hospital transfers. Additionally, there is a potential for iatrogenic injury when tube feeds… Continue Reading
Use of Near-Infrared Imaging and a Lighted Bougie to Improve Sleeve Gastrectomy Technique
Sarah Assali, DO1, Salim Abunnaja, MD2, Nezar Jrebi, MD2, Lawrence Tabone, MD2, Paolo Fontes, MD2, Nova Szoka, MD2. 1Allegheny General Hospital, 2West Virginia University Ruby Memorial HospitalIntroduction: This pilot study describes a novel use of near infrared imaging in laparoscopic surgery. Specifically, it examines the use of a near infrared camera and lighted bougie during… Continue Reading
Implementing a tool for structured postoperative team debriefing to improve surgical safety.
Anne Sophie van Dalen1, Teodor Grantcharov, MD, PhD2, Marlies P Schijven, MD, PhD, MHSc1. 1Department of Surgery, Amsterdam Gastroenterology and Metabolism, Amsterdam UMC, University of Amsterdam, The Netherlands, 2International Centre for Surgical Safety, Li Ka Shing Knowledge Institute of St. Michael’s HospitalOBJECTIVE Intraoperative adverse events are a major safety threat in modern surgery. A significant number… Continue Reading
MEDROBOTICS FLEX® ROBOTIC SYSTEM FOR TRANSANAL EXCISION OF A LARGE RECTAL NEOPLASM: THE FIRST EUROPEAN EXPERIENCE
Alberto Arezzo, MD. University of TorinoThe video shows a case of Laterally Spreading Tumour of the rectum with preoperative benign histology, Paris Classification 0-Is G (granular type), uT0N0 EUS stage, Kudo type IV, NICE type 2. The neoplasm measured 6 x 7 cm, and extended from 6 to 12 cm from the anal verge, mainly… Continue Reading
New Surgical Stapler Designed to Decrease Cost Without Impacting Outcomes in Bariatric Surgery: An Analysis of 120 patients
Pablo Omelanczuk, MD1, Ryan C Broderick, MD2, Ezequiel Fernandez, MD3, Patricio Cal, MD3, Luciano Deluca, MD3, Santiago Horgan, MD2. 1Hospital Italiano de Mendoza, Argentina, 2University of California San Diego, 3Complejo Medico Policial Churruca-Visca, Buenos Aires, ArgentinaObjective: Evaluate safety and efficacy of a newly introduced stapler in bariatric surgery as compared to established surgical staplers. Introduction:… Continue Reading
Automatic initialization of registration algorithms using simulated endoscopy images
Ayushi Sinha, PhD1, Masaru Ishii, MD, PhD2, Russell H Taylor, PhD1, Gregory D Hager, PhD1, Austin Reiter, PhD1. 1The Johns Hopkins University, 2Johns Hopkins Medical InstitutionsObjective: The aim of this work is to enable automatic initialization of vision-based navigation systems developed for endoscopy. Most such systems present innovations in registration between endoscopy video and preoperative… Continue Reading
Interactive Augmented Reality for Robot-Assisted Surgery
Maria Paola Forte, Katherine J Kuchenbecker, PhD. Max Planck Institute for Intelligent SystemsObjective: Most robotic surgery applications of augmented reality (AR) focus on bringing pre-operative images (e.g., MRI) into the surgeon’s intra-operative workspace. We are exploring alternative uses and interaction methods of AR. In collaboration with laparoscopic surgeons, we identified five possible AR tool categories:… Continue Reading
Novel Clip Applicator for Minimally Invasive Surgery
Simon Erridge1, Christopher Payne2, Mikael Sodergren1. 1Department of Surgery and Cancer, Imperial College London, UK, 2John A. Paulson School of Engineering and Applied Sciences, Harvard UniversityObjective: Ligation clips are used ubiquitously throughout minimally invasive surgery for apposition of tissues. However, their size limits their application beyond ligation of small tubular structures. Traditional clip applicators only… Continue Reading
Comparing perioperative outcomes between laparoscopic PPPD and open PPPD with SMA-first approach technique for pancreas head cancer
Min Young Park, MD, Woo Hyung Lee, MD, PhD, Ki Byung Song, MD, PhD, Dae Wook Hwang, MD, PhD, Jae Hoon Lee, MD, PhD, Young Joo Lee, MD, PhD, Song Cheol Kim, MD, PhD. Asan Medical CenterBackground: Checking invasion of SMA have a decisive effect on proceeding the surgery for pancreatic head cancer. Although previous… Continue Reading
Spyglass cholangioscopy for Cystic duct stump calculi and Mirizzi,s-A Technique for future
Prof Subhash Khanna, MS, FICS, FIAGES, FALS. Swagat Super Speciality Surgical InstituteObjective: The aim of this study was to look at the feasibility of using the new version of cholangioscope (Boston Scientific ) in managing the left out calculi in the postcholecystectomy stump and also in cases of Mirizzi's syndrome where the laparoscopic surgery may… Continue Reading
Intelligent Operating Room
Jasmine Winter Beatty, MBBS, BSc, MRCS1, Karen Kerr, PhD2, Imanol Luengo, PhD2, Petros Giatagas, PhD2, Danail Stoyanov, PhD2, James Kinross, PhD, FRCS1, Sanjay Purkayastha, MD, FRCS1. 1Imperial College London, 2Digital Surgery LTDObjective of Digital Surgery’s Ecosystem: Surgery is delivered by surgeons with different skill and experience levels, trained through apprenticeship models with non-standardized methods, across… Continue Reading
Using Population Analysis to Evaluate the Progress of Laparoscopic Surgical Skills Learning
Elham Rastegari1, Hesham Ali, PhD1, Carl Nelson, PhD2, Dmitry Oleynikov, MD3, Ka-Chun Siu, PhD3. 1University of Nebraska at Omaha, 2University of Nebraska - Lincoln, 3University of Nebraska Medical CenterIntroduction: With the increased sophistication of medical instruments and the growing importance of their functionality, the problem of assessing the proficiency of operating such instruments has emerged as… Continue Reading