Laparoscopic Surgery

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Paraskevas Paraskeva - One of the best experts on this subject based on the ideXlab platform.

  • A clinical review of single-incision Laparoscopic Surgery
    The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland, 2011
    Co-Authors: Irfan Ahmed, Paraskevas Paraskeva
    Abstract:

    Laparoscopic Surgery is one of the most significant surgical advances of the twentieth century. Recently, the focus has been on the development of minimally invasive techniques in the form of single-incision Laparoscopic Surgery. The single-incision technique provides a less invasive alternative to conventional Laparoscopic Surgery, requiring only one incision disguised within the umbilical folds in contrast to the three to five incisions in conventional Laparoscopic Surgery. The availability of a number of specialised ports has aided the development of single-incision Laparoscopic Surgery, and led to its widespread use. The successful use of single-incision Laparoscopic Surgery has been reported for a number of surgical procedures, and offers several potential benefits versus conventional Laparoscopic Surgery, including reduced pain, reduced time to recovery and improved cosmesis. This review of international literature assesses the current status, as well as the experience, of single-incision Laparoscopic Surgery within general, colorectal, bariatric, metabolic, gynaecological and urological Surgery. The challenges faced with single-incision Laparoscopic Surgery are discussed, as well as the clinical studies that are required in order to establish single-incision Surgery as a significant improvement to conventional Laparoscopic Surgery in terms of reduced pain and improved cosmesis.

Ara W. Darzi - One of the best experts on this subject based on the ideXlab platform.

  • Virtual reality and Laparoscopic Surgery
    British Journal of Surgery, 1994
    Co-Authors: J. Coleman, C. C. Nduka, Ara W. Darzi
    Abstract:

    The nature of Laparoscopic Surgery makes it likely to benefit from current and future developments in virtual reality and telepresence technology. High-definition screens, three-dimensional sensory feedback and remote dextrous manipulation will be the next major developments in Laparoscopic Surgery. Simulators may be used in surgical training and in the evaluation of surgical capability.

Irfan Ahmed - One of the best experts on this subject based on the ideXlab platform.

  • Single port/incision Laparoscopic Surgery compared with standard three-port Laparoscopic Surgery for appendicectomy - a randomised controlled trial
    Trials, 2012
    Co-Authors: Momin Malik, Kirsty Mccormack, Zygmunt H Krukowski, Alison Mcdonald, Gladys Mcpherson, Jonathan A Cook, Irfan Ahmed
    Abstract:

    Background Laparoscopic Surgery has become the preferred approach for many procedures because of reduced post-operative pain, better recovery, shorter hospital stay and improved cosmesis. Single incision Laparoscopic Surgery is one of the many recent variants where either standard ports or a specially designed single multi-channel port is introduced through a single skin incision. While the cosmetic advantage of this is obvious, the evidence base for claims of reduced morbidity and better post-operative recovery is weak. This study aims to compare the effectiveness of single port/incision Laparoscopic appendicectomy with standard three-port Laparoscopic appendicectomy in adult patients at six weeks post-Surgery. We also wish to assess the feasibility of a multicentre randomised controlled trial comparing single port/incision Laparoscopic Surgery with standard three-port Laparoscopic Surgery for other surgical techniques. Methods and design Patients diagnosed with suspected appendicitis and requiring surgical treatment will be randomised to receive either standard three-port or single incision Laparoscopic Surgery. Data will be collected from clinical notes, operation notes and patient reported questionnaires. The following outcomes will be considered: 1. Effectiveness of the surgical procedure in terms of: •patient reported outcomes •clinical outcomes •resource use 2. Feasibility of conducting a randomised controlled trial (RCT) in the emergency surgical setting by quantifying: •patient eligibility •randomisation acceptability •feasibility of blinding participants to the intervention received •completion rates of case report forms and patient reported questionnaires Trial registration ISRCTN66443895 (assigned 10 March 2011, first patient randomised 09 January 2011)

  • A clinical review of single-incision Laparoscopic Surgery
    The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland, 2011
    Co-Authors: Irfan Ahmed, Paraskevas Paraskeva
    Abstract:

    Laparoscopic Surgery is one of the most significant surgical advances of the twentieth century. Recently, the focus has been on the development of minimally invasive techniques in the form of single-incision Laparoscopic Surgery. The single-incision technique provides a less invasive alternative to conventional Laparoscopic Surgery, requiring only one incision disguised within the umbilical folds in contrast to the three to five incisions in conventional Laparoscopic Surgery. The availability of a number of specialised ports has aided the development of single-incision Laparoscopic Surgery, and led to its widespread use. The successful use of single-incision Laparoscopic Surgery has been reported for a number of surgical procedures, and offers several potential benefits versus conventional Laparoscopic Surgery, including reduced pain, reduced time to recovery and improved cosmesis. This review of international literature assesses the current status, as well as the experience, of single-incision Laparoscopic Surgery within general, colorectal, bariatric, metabolic, gynaecological and urological Surgery. The challenges faced with single-incision Laparoscopic Surgery are discussed, as well as the clinical studies that are required in order to establish single-incision Surgery as a significant improvement to conventional Laparoscopic Surgery in terms of reduced pain and improved cosmesis.

J. Coleman - One of the best experts on this subject based on the ideXlab platform.

  • Virtual reality and Laparoscopic Surgery
    British Journal of Surgery, 1994
    Co-Authors: J. Coleman, C. C. Nduka, Ara W. Darzi
    Abstract:

    The nature of Laparoscopic Surgery makes it likely to benefit from current and future developments in virtual reality and telepresence technology. High-definition screens, three-dimensional sensory feedback and remote dextrous manipulation will be the next major developments in Laparoscopic Surgery. Simulators may be used in surgical training and in the evaluation of surgical capability.

Haijun Deng - One of the best experts on this subject based on the ideXlab platform.