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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_1550_Библиотеки_им_академика_М_И_Перельмана
.pdf
353
Index
positioning , 303
prostatic dissection , 305
Single-Site
™
, 309
specimen extraction , 305–306
urethral dissection and division , 305
urethrovesical anastomosis , 306
Laparoendoscopic single-site (LESS) surgery ,
4, 37
historical perspectives
adrenalectomy and nephrectomy , 8
advantages and future prospects , 8–9
applications , 8
laparoscopic procedures , 7
terminology , 7
instrumentation
fl exible instruments , 43
prebent instruments , 43
standard laparoscopic instruments ,
43–44
mini-laparoscopic systems and
bene fi ts , 88
liver retraction , 92
needlescopic instruments , 92–93
pyeloplasty , 92
urology , 89–91
nomenclature
criteria , 15
current trends and future prospects , 22
descriptives and acronyms , 15–16
LESSCAR , 17
NOSCAR , 16
online acronym databases , 16
procedure evolution , 19
PubMed search , 17–18
rationale , 20–21
shortcomings , 21–22
Urologic NOTES Working Group , 17
ports
AirSeal
™
, 40–41
GelPort
™
/GelPOINT
™
/Alexis
™
, 40
homemade single-port device , 41
multiple-trocar con fi guration , 38
OCTO-Port
™
, 41
R-Port
®
/TriPort
™
/QuadPort
™
, 40
SILS
™
Port , 40
single-port devices , 38, 39
SPIDER
™
, 42
SSL Access System , 41
TransPort
™
, 42
X-Cone
™
, 41
visualization options
disadvantages , 26
3D optics , 31
EndoCAMeleon
™
, 30
EndoEye LTF-VP
™
, 28–29
EndoEye
™
, 27–28
modi fi ed scopes and light guides ,
29, 31
operative laparoscope , 30, 31
rod-lens laparoscopes , 26–27
Laparoendoscopic Single-Site Surgery
Consortium for Assessment
and Research (LESSCAR) , 7
Laparoscopic-assisted closure , 74
Laparoscopic living-donor nephrectomy
(LDN) , 276–277
Lateral decubitus position , 234–235
LESS . See Laparoendoscopic single-site
(LESS)
Light-emitting diode (LED) , 346
Liver retraction systems
Endolift
™
, 65
intracorporeal suture retraction , 61
liver suspension tape method , 62
LoneStar
™
hooks , 62–63
laparoscopic bulldog clamp , 64
methods comparison , 65
penrose drain , 62
percutaneous suture retraction , 60–61
Living donor nephrectomy (LDN) , 137–138
LoneStar
™
hooks , 62–63
laparoscopic bulldog clamp , 64
M
Magnetic anchoring and guidance system
(MAGS) , 56
instrumentation , 56
limitations , 59
NOTES cholecystectomy , 56–57
porcine model , 59
SILS cholecystectomy , 58
Master And Slave Transluminal Endoscopic
Robot (MASTER) , 336
Mini-laparoscopic-assisted natural ori fi ce
surgery (MANOS) , 87
Mini-laparoscopic systems
bene fi ts , 84–85
conventional laparoscopy and , 86–87
development , 81
history , 82–83
instrumentation , 85, 86
LESS and
bene fi ts , 88
liver retraction , 92
needlescopic instruments , 92–93
354
Index
Mini-laparoscopic systems ( cont. )
pyeloplasty , 92
urology , 89–91
MiniPort
™
, 85
nomenclature , 83–84
NOTES and , 87–88
pure mini-laparoscopy , 85–86
Minimal access surgery , 25–26
Minimally invasive adrenal surgery , 281–282
Minimally invasive surgery , 3–4
MiniPort
™
, 85
N
Natural Ori fi ce Surgery Consortium
for Assessment and Research
(NOSCAR) , 6
Natural ori fi ce translumenal endoscopic
surgery (NOTES) , 4
access , 248–249
basic steps , 244
closure of access , 250
coaxial limitations , 248
complications , 251
conventional scopes , 249–250
endoscopic instruments , 250–251
evolution and advantages , 243–244
historical perspectives
fl exible endoscopy , 4
nephrectomy , 5–6
NOSCAR , 6
transgastric approach , 5
vaginal hysterectomies , 5
hybrid , 178–179
instrumentation
fl exible , 44–45
rigid , 45–46
nomenclature
criteria , 14–15
current trends and future prospects , 22
descriptives and acronyms , 15–16
LESSCAR , 17
NOSCAR , 16
online acronym databases , 16
procedure evolution , 19
PubMed search , 17–18
rationale , 20–21
shortcomings , 21–22
Urologic NOTES Working Group , 17
pneumoperitoneum , 250
retraction systems ( see Retraction systems,
SILS and NOTES)
technical , 247–248
training systems , 179
transcolonic , 175–176, 247
transgastric , 174–175, 244–245
transvaginal , 245–246
access ( see Transvaginal access and
NOTES)
limitations and advancements , 174
MAGS camera and cauterizer ,
173–174
nephrectomy , 171–172
QuadPort
®
, 172
TransPort
™
, 172
transvesical , 246–247
ex vivo assessment custom device ,
176–177
feasibility , 177–178
limitation , 178
peritoneoscopy , 177, 178
utility , 177
transvisceral closure
challenges and requirements , 72–73
clip closure devices , 75
direct suture closure , 73–74
endoscopic suturing devices , 74
evaluation , 77–78
laparoscopic-assisted closure , 74
stapling devices , 75
steps involved , 71–72
T-tag closure systems , 76
tunnel-based closures , 76
visualization options
DDES , 32–33
EndoSAMURAI , 33
transanal surgery , 31–32
transgastric approach , 32
Natural ori fi ce translumenal endoscopic
surgery (NOTES) appendectomy
bene fi ts and hurdles , 192
closure , 190
complications , 191–192
development , 183
equipment sterilization , 185
human , 184
nomenclature , 184
operative time , 190
patient preparation and anesthesia ,
185–186
patient selection , 185
pneumoperitoneum creation , 186
postoperative care , 190–191
preprocedure preparation , 185
procedure , 188–190
transgastric approach , 187–188
transgastric vs. transvaginal approach , 191
transvaginal approach , 186–187
355
Index
Natural ori fi ce translumenal
endoscopic surgery (NOTES)
cholecystectomy
exclusion criteria , 205
future prospects , 216
gallbladder removal and gastroscopy , 200
general acceptance , 203–204
justi fi cations , 195
limitations , 198
outcomes , 200–201
registries , 195–196
rigid transluminal technique , 197–198
standardized hybrid approach , 199–200
transgastric , 196–197, 215–216
transvaginal
access and pneumoperitoneum
establishment , 196, 205–206
articulating grasper , 207
closure and postoperative care , 211
endoscopic graspers , 206
gallbladder dissection , 210–211
internal retractors , 209–210
IOP , 213–215
MAGS , 208–209
outcomes , 211–213
patient positioning and preparation , 205
R-Scope , 208
transabdominal Endoloop
®
, 208
transabdominal stay sutures , 207–208
Natural ori fi ce translumenal endoscopic
surgery (NOTES)
gastrojejunostomy
compression anastomoses
( see Compression anastomoses)
gastroentero-anastomoses , 221–222
indications , 219
NOTES sutured gastroentero-anastomoses ,
223–224
SEMS placement , 220
treatment , 219
T-tags suturing , 222–223
Natural ori fi ce translumenal endoscopic
surgery (NOTES) nephrectomy
bene fi ts , 229–230
complications and technical dif fi culties ,
239–240
dissection , 238
future prospects , 240–241
indications and patient selection , 233
nomenclature , 230
optics and instruments , 236–238
papers published , 230–232
patient positioning , 234–235
ports , 235–236
specimen extraction and entry site closure ,
238–239
surgical footprint , 229
translumenal access , 235
Needlescopic surgery , 343–344
NeoGuide
®
, 336
Nephrectomy . See Laparoendoscopic
single-site (LESS) nephrectomy;
Natural ori fi ce translumenal
endoscopic surgery (NOTES)
nephrectomy
Nintendo Surgical Revolution , 26
NOTES . See Natural ori fi ce translumenal
endoscopic surgery (NOTES)
O
Occluding devices , 110
OCTO-Port
™
, 41
OverStitch
™
, 44
P
Partial nephrectomy (PN) , 273–274
Pelvic reconstructive urological surgery .
See Laparoendoscopic single-site
(LESS) pelvic reconstructive
urological surgery
Proton pump inhibitors (PPIs) , 98
Pyeloplasty . See Laparoendoscopic single-site
(LESS) pyeloplasty
Q
QuadPort
™
, 160, 172
R
Radical prostatectomy . See Laparoendoscopic
single-site (LESS) radical
prostatectomy
RealHand
™
, 43, 55
Retraction systems, SILS and NOTES
cholecystectomy
drawbacks , 50–51
Endograb
™
, 54–55
endoloop , 52–53
intracorporeal suture retraction ,
51, 53
magnetic ( see Magnetic anchoring
and guidance system (MAGS))
method , 50
percutaneous suture retraction , 51, 52
RealHand
™
grasper , 55
356
Index
Retraction systems, SILS and NOTES ( cont. )
dual-incision adjustable band , 66–67
Endograb
™
, 67
liver ( see Liver retraction systems)
magnetic retractors , 68
natural ori fi ce specimen extraction , 67
NOSCAR and LESSCAR , 49–50
single-incision right hemicolectomy , 68
Retroperitoneal LESS nephrectomy , 272–273
Right-angled adapters , 29, 31
Robot-assisted laparoscopic prostatectomy
(RALP) , 150
Robotic LESS (R-LESS)
nephrectomy , 272
pyeloplasty
crossing technique , 263
da Vinci
®
Surgical System , 261
port placement , 262
radical prostatectomy ( see
Laparoendoscopic single-site
(LESS) radical prostatectomy)
Robotic LESS urological surgery
advantages and limitations , 338
conventional LESS vs. 332
development , 325–326
fl exible robotics
MASTER , 336
NeoGuide
®
, 336
Sensei
®
, 334–335
Viacath
®
, 336
improvements , 326
literature , 328–330
MAGS , 333, 334
partial nephrectomies , 331
periumbilical incision , 331
preclinical investigation , 327–328
radical nephrectomy , 331–332
technical challenges , 326
VeSPA
®
, 333, 335
in vivo robots
categories , 336
miniature robotic platform , 337–338
mobile imaging , 336
multiarm, dexterous miniature robot ,
337
pan-and-tilt imaging , 336
task-speci fi c , 337
Robotic single-site access , 163–165
Roticulator
™
articulating instruments , 43
R-Port
®
/TriPort
™
/QuadPort
™
, 40
r-Port
™
, 160
R-Scope , 208
S
SAMSEN . See Smart self-assembling magnets
for endoscopy (SAMSEN)
Scarless surgery
camera options
EndoEye
™
, 346–347
fl exible endoscope , 344, 346
light-emitting diode , 346
microcamera , 346
5-mm scope , 344
charge-coupled device , 341
3D MRI virtual image device , 350
instruments
fl exible , 347, 348
prebent , 347
smart tools , 347
SPIDER
®
, 348
needlescopic surgery , 343–344
new techniques , 342
NOTES , 342 ( see also Natural ori fi ce
translumenal endoscopic surgery
(NOTES))
robotics , 349
SILS , 343
single-port devices , 344–346
wireless electricity , 349
Self-expandable metal stents (SEMS) , 220
Sensei
®
, 334–335
ShapeLock
®
technology , 175
SILS
™
, 40, 161
Single-incision laparoscopic surgery (SILS) ,
49 See also Retraction systems,
SILS and NOTES
Single-port devices , 38, 39
Single-port laparoscopy (SPL)
complications
management and prevention , 320–321
modi fi ed Clavien complications scale ,
318, 319
mortality , 318
technical challenges , 320
xanthogranulomatous pyelonephritis ,
319
development and incorporation , 313
issues
benign vs. malignant pathology ,
315–316
instrumentation and learning curve , 317
patient selection , 314, 315
robotic platforms incorporation ,
317–318
target organ , 314–315
357
Index
Single-puncture operative laparoscope ,
30, 31
Single Site Laparoscopy (SSL) Access
System , 162
Single-Site
™
, 309
Single-site umbilical access , 162–163
Smart self-assembling magnets
for endoscopy (SAMSEN) , 225
SPIDER
®
, 348
SPIDER
™
, 42
SPL . See Single-port laparoscopy (SPL)
Stapling devices , 75
Submucosal fl ap technique , 101,
103–104
Supine lithotomy position , 234
T
Tissue approximation device (TAD) , 121
Transanal endoscopic microsurgery (TEM) ,
115–116
Transcolonic access
advantages , 126–127
alternative inferior access points , 126
cholecystectomy , 116–117
closure studies
ECESD , 121
endoclips , 119
endoloop colotomy , 120
healing , 120
InScope
®
MultiClip , 120–121
larger perforations , 119–120
LSI purse-string suture , 121
surgical closure , 122
TAD , 121
transverse and longitudinal
endoclip , 122–123
comparative studies , 123–124
disadvantages , 127
evolution , 116
hernia repair mesh fi xation , 118
in fl atable balloon , 118–119
innovative studies , 125
ISSA , 118
NOTES , 116
peritoneoscopy , 117
studies , 116–119
TEM , 115–116
Transcolonic NOTES , 175–176
Transgastric access
development , 97–98
entry site planning , 98–99
gastrotomy techniques
closure techniques , 105–107
EndoClips
™
, 105, 108
needle-knife linear incision , 99, 101,
102
occluding devices , 110
organ visualization , 104–105
PEG , 99, 100
submucosal fl ap technique , 101,
103–104
suturing devices , 108–110
types , 104
stomach preparation , 98
Transgastric NOTES , 174–175
TransPort
™
, 42, 172
Transumbilical access
access techniques , 158
drawbacks , 164–165
port placement , 157
robotic single-site access , 163–165
single-port umbilical access
Alexis
™
, 162
GelPOINT
™
, 160
purpose-built platforms , 159
r-Port
™
, 160
SILS
™
, 161
SSL Access System , 162
Uni-X
™
Single Port System , 160
X-CONE
™
, 162
single-site umbilical access , 162–163
umbilical LESS , 158
Transvaginal access and NOTES
advantages and disadvantages ,
132–133
clinical presentation , 138
development , 131–132
general surgery , 141
history , 133–134
hybrid NOTES , 139
limitations and advancements , 174
MAGS camera and cauterizer , 173–174
nephrectomy , 171–172
QuadPort
®
, 172
TransPort
™
, 172
transvaginal nephrectomy
one port , 139–140
pure , 140–141
three abdominal ports , 136–138
two laparoscopic ports , 134–136
Transvesical access
development , 145–146
transluminal ports , 146
358
Index
Transvesical access ( cont. )
transvesical ports
abdominal morcellation , 152
advantage and limitations , 152–154
cholecystectomy , 148
closure , 150–151
comparison , 152
cystectomy , 150
nephrectomy , 148–149
procedures performed , 147
safety , 150
surgical applications , 154
technique access , 147
thoracoscopy , 148
Transvesical NOTES
ex vivo assessment custom device ,
176–177
feasibility , 177–178
limitation , 178
peritoneoscopy , 177, 178
utility , 177
Transvisceral closure
challenges and requirements , 72–73
clip closure devices , 75
direct suture closure , 73–74
endoscopic suturing devices , 74
evaluation , 77–78
laparoscopic-assisted closure , 74
stapling devices , 75
steps involved , 71–72
T-tag closure systems , 76
tunnel-based closures , 76
TriPort , 236
T-tag closure systems , 76
T-tags suturing , 222–223
Tunnel-based closures , 76
U
Umbilical LESS (U-LESS) , 158
Uni-X
™
Single Port System , 160
Ureteropelvic junction (UPJ) , 257
Urology , 13
V
VeSPA
®
, 318
Viacath
®
, 336
X
X-CONE
™
, 41, 162
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