This video shows a single port wireless laparoscopy. In order to reduce the number of instruments.The image quality is not bad but needs to be improved if it is to become a realistic substitute for flexible laparoscopy. Remote control movement will improve with the use of magnets and/or electrostimulation and perhaps electromechanical methods.External wireless commands will influence diagnosis and therapy and will increasingly entail the use of real-time imaging. The main pressure is to reduce the component size, which will release space that could be used for functions such as therapy. New engineering methods for constructing tiny moving parts, miniature actuators and even motors into endoscopes are being developed. Future diagnostic developments are likely to include attachment to the abdominal wall. It can be used to improve visualization and may allow multiple camera angles during surgery, and views of structures that are difficult to see with conventional rigid laparoscopes such as the retroesophageal space or the pouch of Douglas. Wireless imaging of cardiac or vascular structures is conceivable, but would require substantial development and control strategies.
Wireless laparoscopy is a desirable extension of wireless capsule endoscopy. This may allow deconstruction of laparoscopes or NOTES platforms, separating the imager from the surgical effectors, thus reducing the outer diameter of trocars, and making surgery less invasive. Wireless laparoscopy has opened up a new world of diagnostic and other possibilities.It likely that wireless video imaging will have a substantial impact on the management of gastrointestinal diseases as well as other parts of the body.
Session: Poster
Program Number: P541