Novel magnetically guided intra-abdominal camera to facilitate laparoendoscopic single-site surgery: initial human experience
Novel magnetically guided intra-abdominal camera to facilitate laparoendoscopic single-site surgery: initial human experience
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DOI：
10.1007/s00464-009-0459-6
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发表时间：
2009-08-01
影响因子：
3.1
通讯作者：
Scott, Daniel
中科院分区：
文献类型：
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作者：
Cadeddu, Jeffrey;Fernandez, Raul;Scott, Daniel
磁力锚定引导系统 (MAGS) 由外部手持式磁铁控制的内部手术器械组成，不需要专用的手术端口。因此，该系统可能有助于减少腹腔镜单部位（LESS）手术相关器械的内部和外部碰撞。在此，我们描述了两名患者在腹腔镜肾切除术和阑尾切除术中使用磁锚式摄像头系统的初步临床经验。两个单独的病例使用单切口工作端口进行，并添加了由磁铁外部控制的磁锚式摄像头。两个病例的手术均取得成功。肾切除术在 120 分钟内完成，估计失血量 (EBL) 为 150 毫升，患者在术后第 2 天出院回家。阑尾切除术在 55 分钟内成功完成，EBL 为 10 毫升，患者在第二天早上出院回家。使用 MAGS 相机可以减少器械碰撞，改善手术工作空间，并提供与标准腹腔镜检查相当的图像。
Magnetic anchoring guidance systems (MAGS) are composed of an internal surgical instrument controlled by an external handheld magnet and do not require a dedicated surgical port. Therefore, this system may help to reduce internal and external collision of instruments associated with laparoendoscopic single-site (LESS) surgery. Herein, we describe the initial clinical experience with a magnetically anchored camera system used during laparoscopic nephrectomy and appendectomy in two human patients.Two separate cases were performed using a single-incision working port with the addition of a magnetically anchored camera that was controlled externally with a magnet.Surgery was successful in both cases. Nephrectomy was completed in 120 min with 150 ml estimated blood loss (EBL) and the patient was discharged home on postoperative day 2. Appendectomy was successfully completed in 55 min with EBL of 10 ml and the patient was discharged home the following morning.Use of a MAGS camera results in fewer instrument collisions, improves surgical working space, and provides an image comparable to that in standard laparoscopy.