Hidenori Fujii, MD, PhD, Yoshiyuki Kawakami, MD, PhD, Toshiharu Aotake, Hidemaro Yoshiba, MD, PhD, Koji Doi, MD, PhD, Ryuhei Ohnishi, MD, Yuki Hirose, MD, PhD. Japanese Red Cross Fukui Hospital
Introduction: In conjunction with Charmant, a local eyeglass frame manufacturer, we developed novel devices called the FJ (Free Jaw) Clip to grasp organs in the abdominal cavity and the F (Free) Loop Plus to pull thread extracorporeally from within the abdominal cavity.
Product Summary: The FJ Clip is a stainless steel, removable forceps for use in laparoscopic surgery. It provides a strong grip but rarely crushes organ tissue. To pull out thread tied to the FJ Clip, we developed the F Loop Plus, which is a 21G by 90-mm-long special stainless needle with φ0.1-mm NiTi alloy thread.
Case: We performed 5 cases of reduced port laparoscopic and endoscopic cooperative surgery (LECS). We performed reduced port surgery (RPS) by making a 1.5-cm incision at the umbilicus, inserting 2 trocars (12 mm and 5 mm), and inserting another trocar (5 mm) at the left side of the abdomen. We expanded the left hepatic lobe with a 12-mm FJ Clip for Penrose drain placement, grasped the front wall of the gastric body with a 12-mm FJ Clip, applying traction toward the legs to pull up the tissues around the tumor, and resected all layers of the tumor via oral endoscopic submucosal dissection technique. The resected area was closed with a suturing device or interrupted sutures in the abdominal cavity.
Results: The average operation time was 204 minutes and postoperative hospital stay was 9.8 days. There were no complications after surgery.
Conclusion: We believe the FJ Clip and F Loop Plus are effective for use in LECS and RPS.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79465
Program Number: P587
Presentation Session: Poster (Non CME)
Presentation Type: Poster