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Focus On Technological Breakthroughs!

Epublication, Dec 2015;15(12). URL: http://websurg.com/doi/fc01en10
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The VERSA LIFTER BAND™: a new option for liver retraction in laparoscopic Roux-en-Y gastric bypass for morbid obesity
During laparoscopic bariatric procedures in morbidly obese patients, the surgeon's operative view is often obscured by the hypertrophic adipose left lobe of the liver.
To provide adequate operative views and working space, an appropriate retraction of the left liver lobe is required.
The use of a conventional liver retractor mandates an additional subxiphoid wound, resulting in patient discomfort for pain and scar formation, with the additional risk of iatrogenic liver injury during retraction maneuvers.
To overcome these limitations, we present the use of a simple, rapid, and safe technique for liver retraction using the VERSA LIFTER™ Band disposable liver suspension system or retractor.
Antonio D'Urso, Michel Vix, Bernard Dallemagne, Henry-Alexis Mercoli, Didier Mutter, Jacques Marescaux
Surgical intervention
3 years ago
1687 views
37 likes
0 comments
03:48
The VERSA LIFTER BAND™: a new option for liver retraction in laparoscopic Roux-en-Y gastric bypass for morbid obesity
During laparoscopic bariatric procedures in morbidly obese patients, the surgeon's operative view is often obscured by the hypertrophic adipose left lobe of the liver.
To provide adequate operative views and working space, an appropriate retraction of the left liver lobe is required.
The use of a conventional liver retractor mandates an additional subxiphoid wound, resulting in patient discomfort for pain and scar formation, with the additional risk of iatrogenic liver injury during retraction maneuvers.
To overcome these limitations, we present the use of a simple, rapid, and safe technique for liver retraction using the VERSA LIFTER™ Band disposable liver suspension system or retractor.
Mini-laparoscopic cholecystectomy using 3mm instruments: needlescopic surgery
Mini-laparoscopic surgery involves the usage of small trocars and instruments, ranging from 2 to 3.5mm in size.
The operative procedure is similar to that of a conventional laparoscopic cholecystectomy, except for the size of instruments.
The use of micro-instruments requires a selection of patients and a minor adaptation to the surgical steps as these instruments are more fragile and they require the use of micro-optics to apply clips to the cystic duct and artery.
The small trocars cause less tissue damage, and subsequently result in less postoperative pain, a faster recovery, and a better cosmesis.
Bernard Dallemagne, Poornima Donepudi, Didier Mutter, Jacques Marescaux
Surgical intervention
3 years ago
2782 views
120 likes
0 comments
06:57
Mini-laparoscopic cholecystectomy using 3mm instruments: needlescopic surgery
Mini-laparoscopic surgery involves the usage of small trocars and instruments, ranging from 2 to 3.5mm in size.
The operative procedure is similar to that of a conventional laparoscopic cholecystectomy, except for the size of instruments.
The use of micro-instruments requires a selection of patients and a minor adaptation to the surgical steps as these instruments are more fragile and they require the use of micro-optics to apply clips to the cystic duct and artery.
The small trocars cause less tissue damage, and subsequently result in less postoperative pain, a faster recovery, and a better cosmesis.
Full thoracoscopic left 6 segmentectomy for invasive pulmonary aspergillosis (IPA)
This video summarizes the main steps of a thoracoscopic left S6 segmentectomy whose indication was a high suspicion of invasive pulmonary aspergillosis (IPA) in a female patient presenting with an acute myeloid leukemia. IPA was resistant to antifungal therapy. A resection was rapidly required as an allogenic bone marrow transplantation was pending.
A full thoracoscopic technique, i.e., with access incision, was used. As for all anatomical segmentectomies performed in our department, a tridimensional reconstruction was carried out preoperatively. A high-definition camera system, a deflectable scope, as well as dedicated thoracoscopic instruments were used.
Dominique Gossot, Agathe Seguin-Givelet, Emmanuel Brian, Madalina Grigoroiu, Diana Mayeur, Jon Lutz
Surgical intervention
3 years ago
830 views
40 likes
0 comments
08:39
Full thoracoscopic left 6 segmentectomy for invasive pulmonary aspergillosis (IPA)
This video summarizes the main steps of a thoracoscopic left S6 segmentectomy whose indication was a high suspicion of invasive pulmonary aspergillosis (IPA) in a female patient presenting with an acute myeloid leukemia. IPA was resistant to antifungal therapy. A resection was rapidly required as an allogenic bone marrow transplantation was pending.
A full thoracoscopic technique, i.e., with access incision, was used. As for all anatomical segmentectomies performed in our department, a tridimensional reconstruction was carried out preoperatively. A high-definition camera system, a deflectable scope, as well as dedicated thoracoscopic instruments were used.