NINTENDO SURGERY: Laparoscopic Techniques Increase in Popularity

1994 ◽  
Vol 5 (7) ◽  
pp. 6
Author(s):  
MICHAEL THOMAS
BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Benjamin De Witte ◽  
Charles Barnouin ◽  
Richard Moreau ◽  
Arnaud Lelevé ◽  
Xavier Martin ◽  
...  

Abstract Background There is a general agreement upon the importance of acquiring laparoscopic skills outside the operation room through simulation-based training. However, high-fidelity simulators are cost-prohibitive and elicit a high cognitive load, while low-fidelity simulators lack effective feedback. This paper describes a low-fidelity simulator bridging the existing gaps with affine velocity as a new assessment variable. Primary validation results are also presented. Methods Psycho-motor skills and engineering key features have been considered e.g. haptic feedback and complementary assessment variables. Seventy-seven participants tested the simulator (17 expert surgeons, 12 intermediates, 28 inexperienced interns, and 20 novices). The content validity was tested with a 10-point Likert scale and the discriminative power by comparing the four groups’ performance over two sessions. Results Participants rated the simulator positively, from 7.25 to 7.72 out of 10 (mean, 7.57). Experts and intermediates performed faster with fewer errors (collisions) than inexperienced interns and novices. The affine velocity brought additional differentiations, especially between interns and novices. Conclusion This affordable haptic simulator makes it possible to learn and train laparoscopic techniques. Self-assessment of basic skills was easily performed with slight additional cost compared to low-fidelity simulators. It could be a good trade-off among the products currently used for surgeons' training.


1997 ◽  
Vol 64 (1_suppl) ◽  
pp. 18-22
Author(s):  
C. Trombetta ◽  
G. Savoca ◽  
G. Liguori ◽  
M. Raber ◽  
A. Lissiani ◽  
...  

With the minimal morbidity attained using laparoscopy, its application in urologic surgery has been increasing. Using laparoscopic techniques we successfully completed the transposition and re-anastomosis of a retrocaval right ureter. Operation time was 240 minutes. The patient was allowed to walk on the first post-operative day and resumed oral intake on the second day. Administration of analgesics was not required. The ureteral stent was removed on the 24th day after operation. An intravenous urogram three months after operation showed a decrease in hydronephrosis. Laparoscopic correction of retrocaval ureter by extraperitoneal approach is a safe, feasible technique, avoiding a large surgical wound with the definite advantage of minimal disfigurement. Operating time is considerably shorter compared to the peritoneal approach as described by Baba (240’ vs 560’).


2008 ◽  
Vol 22 (12) ◽  
pp. 2588-2595 ◽  
Author(s):  
Seok-Byung Lim ◽  
Hyo Seong Choi ◽  
Seung-Yong Jeong ◽  
Jae-Gahb Park

2015 ◽  
Vol 57 (4) ◽  
pp. 214-216 ◽  
Author(s):  
W. E. Phipps ◽  
A. R. Goodman ◽  
M. Sullivan

Author(s):  
Mark Halls ◽  
David Martinez-Cecilia ◽  
Salvatore Barbaro ◽  
Mohammad Abu Hilal

Author(s):  
Marcelo de Paula Loureiro ◽  
Rômulo Augusto Andrade de ALMEIDA ◽  
Christiano Marlo Paggi Claus ◽  
Eduardo Aimoré Bonin ◽  
Antônio Moris Cury-Filho ◽  
...  

Background : Gastrointestinal mesenchymal or stromal tumors (GIST) are lesions originated on digestive tract walls, which are treated by surgical resection. Several laparoscopic techniques, from gastrectomies to segmental resections, have been used successfully. Aim : Describe a single center experience on laparoscopic GIST resection. Method : Charts of 15 operated patients were retrospectively reviewed. Thirteen had gastric lesions, of which ten were sub epithelial, ranging from 2-8 cm; and three were pure exofitic growing lesions. The remaining two patients had small bowel lesions. Surgical laparoscopic treatment consisted of two distal gastrectomies, 11 wedge gastric resections and two segmental enterectomies. Mechanical suture was used in the majority of patients except on six, which underwent resection and closure using manual absorbable sutures. There were no conversions to open technique. Results : Mean operative time was 1h 29 min±92 (40-420 min). Average lenght of hospital stay was three days (2-6 days). There were no leaks, postoperative bleeding or need for reintervention. Mean postoperative follow-up was 38±17 months (6-60 months). Three patients underwent adjuvant Imatinib treatment, one for recurrence five months postoperatively and two for tumors with moderate risk for recurrence . Conclusion : Laparoscopic GIST resection, not only for small lesions but also for tumors above 5 cm, is safe and acceptable technique.


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