Minimizing MIS Using Magnetically Anchored and Percutaneous Needlescopic Instruments for Basic and Complex Procedures
Nabeel Arain*1, Sara Best2, Jeffrey a. Cadeddu2, Deborah C. Hogg1, Richard Bergs3, Raul Fernandez3, Lauren B. Mashaud1, Daniel J. Scott1
1Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX; 2Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX; 3Texas Manufacturing Assistance Center/Automation and Robotics Research Institute, University of Texas Arlington, Arlington, TX
This video shows techniques for minimizing MIS using magnetically anchored and percutaneous needlescopic instruments for both basic and complex procedures which included a laparoscopic cholecystectomy (porcine model) and a laparoscopic Roux-en-Y Gastric Bypass (human cadaver). We combined instrumentation including a magnetically anchored camera, 3mm percutaneous instruments, and a single 12mm working port. This combination afforded excellent triangulation and minimized the number and size of incisions. Furthermore, this strategy may offer comparable or even better cosmesis compared to single incision laparoscopic procedures without the associated technical difficulties.
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