New Horizons in Laparoscopic Surgery 2018
DOI: 10.5772/intechopen.74117
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Handheld Devices for Laparoscopic Surgery

Abstract: Despite the well-known benefits of minimally invasive surgery (MIS) to the patients, this surgical technique implies some technical challenges for surgeons. These technical limitations are increased with the introduction of laparoendoscopic single-site (LESS) surgery. In order to overcome some of these technical difficulties, new handheld devices have been developed, providing improved functionalities along with precision-driven and articulating instrument tips. In this chapter, we will review the current stat… Show more

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Cited by 16 publications
(22 citation statements)
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“…Over the last decades mechanical and motorized ALI have been developed to help the surgeon overcome the known obstacles of laparoscopy and, thus, making more difficult procedures possible in a minimally invasive manner. But since their introduction few studies have compared motorized ALI to CLI and their benefit is still unclear [ 7 , 9 11 , 14 16 ]. Some studies only compared tasks performed with motorized needle holders, like Robot DEX™ (Déxtérité Surgical, Annecy, France) or Jaimy® (Endocontrol Company, Grenoble, France) [ 11 , 15 , 16 ], whereas others also used several instruments of the Kymerax™ system (Terumo, Tokyo, Japan) comparable to our study [ 9 , 10 , 14 , 17 ].…”
Section: Discussionmentioning
confidence: 99%
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“…Over the last decades mechanical and motorized ALI have been developed to help the surgeon overcome the known obstacles of laparoscopy and, thus, making more difficult procedures possible in a minimally invasive manner. But since their introduction few studies have compared motorized ALI to CLI and their benefit is still unclear [ 7 , 9 11 , 14 16 ]. Some studies only compared tasks performed with motorized needle holders, like Robot DEX™ (Déxtérité Surgical, Annecy, France) or Jaimy® (Endocontrol Company, Grenoble, France) [ 11 , 15 , 16 ], whereas others also used several instruments of the Kymerax™ system (Terumo, Tokyo, Japan) comparable to our study [ 9 , 10 , 14 , 17 ].…”
Section: Discussionmentioning
confidence: 99%
“…Thus, follows that ALI seem to have their own learning curve and require skills distinct form conventional laparoscopy or open surgery. However, one should keep in mind that ALI are not designed to be a replacement of CLI, but should rather be seen as an add-on to refine laparoscopic capabilities [ 7 ]. Therefore, laparoscopic training with CLI and ALI should ideally be combined in a new multi-modality training curriculum to ensure an optimal training benefit with both types of instruments.…”
Section: Discussionmentioning
confidence: 99%
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