Use of an Endoscopic Surgical Spacer during Laparoscopic Pancreatic Tumor Enucleation

Nakamura, Yoshiharu; Matsumoto, Satoshi; Uchida, Eiji; Tajiri, Takashi; Jo, Yoshio; Inoue, Takato

doi:10.1272/jnms.77.106

Cited by 6 publications

(6 citation statements)

References 7 publications

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“…1) The endoscopic surgical spacer SECUREA ™ (Hogy Medical Co., Ltd., Tokyo, Japan) is a medical device that is employed and evaluated in laparoscopic pancreatic enucleation and laparoscopic cholecystectomy. 2,3) In this report, we demonstrate the utility of SECUREA in complete thoracoscopic mediastinal lymph node dissection in patients with non-small cell lung cancer.…”

Section: Introductionmentioning

confidence: 66%

Thoracoscopic Mediastinal Lymph Node Dissection Using an Endoscopic Spacer

Akiba

Marushima

Hirai

et al. 2012

ATCS

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Although fewer lymph nodes are dissected with video-assisted thoracic surgery than with open lobectomy, thoracoscopic lobectomy is increasingly becoming the preferred surgical approach for early-stage lung cancers. The endoscopic surgical spacer SECUREA™ is a medical device that has been effectively employed in laparoscopic surgery, but no study has evaluated its efficacy in thoracoscopic surgery. In this report, we demonstrate the utility of SECUREA for complete thoracoscopic mediastinal lymph node dissection in patients with non-small cell lung cancer.

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Section: Introductionmentioning

confidence: 66%

Thoracoscopic Mediastinal Lymph Node Dissection Using an Endoscopic Spacer

Akiba

Marushima

Hirai

et al. 2012

ATCS

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“…6 It measures 4.0 cm · 2.5 cm · 1.5 cm (extra small size) and can be introduced into the body cavity through a 10-mm trocar or into the wound created for a 5-mm trocar. At placement and removal, the radiopaque marker needs to be grasped with forceps to guide the sponge.…”

Section: Discussionmentioning

confidence: 99%

“…We used SECUREAÔ (Hogy Medical Co., Ltd., Tokyo, Japan) endoscopic surgical spacers ( Fig. 1) 6 in three cases of CDH, resulting in safe reduction of the herniated viscera and repair of the hernia orifice.…”

Section: Introductionmentioning

confidence: 99%

Use of Endoscopic Surgical Spacer to Improve Safety During Thoracoscopic Repair of Congenital Diaphragmatic Hernia

Inoue

Uchida

Otake

et al. 2012

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Thoracoscopic repair of congenital diaphragmatic hernia (CDH) has recently become more common, and the challenge of managing neonatal cases is increasing. Meanwhile, there have been reported intraoperative complications or conversion to open surgery due to injury of herniated viscera and inability of organ reduction. We used the endoscopic surgical spacer SECUREA™ (Hogy Medical Co., Ltd., Tokyo, Japan), which is an elliptical sponge made of polyurethane with a radiopaque marker, for preventing these complications in three cases of CDH. The first case was a late presentation in a 10-month-old girl, and the second and third cases were prenatally diagnosed female neonates without severe pulmonary hypertension. All cases were left-sided hernias without sacs. At operation, the SECUREA was grasped using forceps, and the viscera were pushed back gently to avoid injuring the spleen or the short gastric vessels in the second and the third case. The SECUREA was intended to prevent intestinal injury during defect repair in all cases, with placement of the SECUREA between the edge of the diaphragm and the reduced intestine. The procedures in all patients were completed with no complications and without the need for conversion.

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“…This spacer is advantageous for safely because it gently holds intra-abdominal organs and tissues with forceps, prevents the spread and facilitates the removal of exudate, and prevents secondary injuries caused by surgical instruments. The SECUREA can also be easily prepared for use with scissors or a surgical knife 1 .…”

mentioning

confidence: 99%

“…is an endoscopic surgical spacer made of polyurethane sponge usable with a radiopaque marker.Our group developed it as a commercial product in collaboration with Hogy Medical Co., Ltd. Earlier reports have described the usefulness of SECUREA for laparoscopic procedures1,2 . The product was originally developed to permit the use of forceps to safely hold organs and tissues from the surgical field, to prevent the spread and facilitate the removal of exudate, and to prevent secondary injuries caused by surgical instruments.…”

mentioning

confidence: 99%

Invention of Two Instruments Fitted with SECUREA™ Useful for Laparoscopic Liver Resection

et al. 2016

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Laparoscopic liver resection (LLR) became common in Japan when advanced techniques and instruments for the procedure became available and the national medical insurance began covering partial resection and lateral segmentectomy. A successful LLR requires a gentle and powerful hold on the specimens, a steady operating field, and fast and rapid compression of the bleeding point to achieve hemostasis. In this paper we describe two instruments developed in our department by attaching the SECUREA™ endoscopic surgical spacer to the forceps and suction tube used for LLR. The instruments are useful and practical for any type of LLR, even in the hands of less experienced surgeons.

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Use of an Endoscopic Surgical Spacer during Laparoscopic Pancreatic Tumor Enucleation

Cited by 6 publications

References 7 publications

Thoracoscopic Mediastinal Lymph Node Dissection Using an Endoscopic Spacer

Thoracoscopic Mediastinal Lymph Node Dissection Using an Endoscopic Spacer

Use of Endoscopic Surgical Spacer to Improve Safety During Thoracoscopic Repair of Congenital Diaphragmatic Hernia

Invention of Two Instruments Fitted with SECUREA™ Useful for Laparoscopic Liver Resection

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