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Laparoscopic Magnetic Grasper to Hold Fundus during Laparoscopic Cholecystectomy
Thu - September 1, 2016 8:15 am  |  Article Hits:3953  |  A+ | a-
Laparoscopic Magnetic Grasper to Hold Fundus during Laparoscopic Cholecystectomy
Laparoscopic Magnetic Grasper to Hold Fundus during Laparoscopic Cholecystectomy
During Laparoscopic Cholecystectomy four ports are required and the work of this additional fourth port is to retract fundus towards the right shoulder of the patient so that cystic duct and artery can be properly visualized. A novel magnetic surgery system grasps and retracts tissue and organs in laparoscopic cholecystectomy procedures, facilitating access and visualization of the surgical site. The Levita Magnetic Surgical System is comprised of a magnetic grasper device with a detachable tip and a magnetic controller. The grasper is inserted into the abdominal cavity via a small incision; once the magnetic tip reaches the gallbladder, the surgeon deploys it, attaching it to the body and the fundus of the gallbladder, and removes the grasper. The surgeon then uses the magnetic controller to maneuver and lift the gallbladder via a magnetic field, without damaging the abdominal wall. Once near the opening, the grasper is re-inserted to retrieve the magnetic tip and attached gallbladder. The system reduces complications during surgery--such as organ injuries, bleeding, or pain--and also provides a better procedure for the surgeon, with less instrument crowding and less scarring for the patient. 

Laparoscopic cholecystectomy is a common surgical procedure that is used to remove the gallbladder. During this procedure, the surgeon must grasp and manipulate the gallbladder to expose it and remove it from the body. However, traditional laparoscopic instruments can be difficult to manipulate, and can sometimes result in tissue damage or other complications. In recent years, a laparoscopic magnetic grasper has been developed to address these challenges. In this essay, we will discuss the laparoscopic magnetic grasper and its use in holding the fundus during laparoscopic cholecystectomy.

Background:

Laparoscopic cholecystectomy is typically performed using a laparoscope, a small camera that is inserted into the body through a small incision. Other surgical instruments are also inserted into the body through additional small incisions, allowing the surgeon to manipulate and remove the gallbladder.

During the procedure, the surgeon must grasp and manipulate the gallbladder to expose it and remove it from the body. However, traditional laparoscopic instruments can be difficult to manipulate, and can sometimes result in tissue damage or other complications.

To address these challenges, a laparoscopic magnetic grasper has been developed. This device uses magnetic force to grasp and manipulate tissue, allowing for greater precision and control during laparoscopic procedures.

The laparoscopic magnetic grasper consists of two parts: a magnetic grasper that is inserted into the body through a small incision, and an external magnetic field generator that is placed outside the body. The magnetic grasper is made up of a set of jaws that can be opened and closed using a remote control. When the magnetic grasper is inserted into the body and positioned near a magnetic field, the jaws are magnetically attracted to each other, allowing the device to grasp and manipulate tissue.

Use of Laparoscopic Magnetic Grasper to Hold Fundus during Laparoscopic Cholecystectomy:

During laparoscopic cholecystectomy, the laparoscopic magnetic grasper can be used to hold the fundus, the upper part of the gallbladder, in place while the surgeon removes the rest of the gallbladder. This can be particularly useful when the fundus is difficult to grasp using traditional laparoscopic instruments.

To use the laparoscopic magnetic grasper to hold the fundus, the device is inserted into the body through a small incision and positioned near the fundus. The external magnetic field generator is then placed outside the body, creating a magnetic field that attracts the jaws of the magnetic grasper and allows it to grasp the fundus.

The surgeon can then use the laparoscopic instruments to remove the rest of the gallbladder, while the magnetic grasper holds the fundus in place. This can help to reduce the risk of tissue damage and other complications, and can also result in faster and more efficient surgeries.

Advantages of Laparoscopic Magnetic Grasper:

The laparoscopic magnetic grasper offers several advantages over traditional laparoscopic instruments. It provides greater precision and control during laparoscopic procedures, allowing for more efficient and effective surgeries.

The laparoscopic magnetic grasper can also reduce the risk of tissue damage and other complications during laparoscopic procedures, as it provides a gentler and more controlled way of grasping and manipulating tissue.

Additionally, the laparoscopic magnetic grasper can reduce the need for additional incisions during laparoscopic procedures, as it can be used to hold tissue in place while the surgeon uses other instruments to perform the surgery.

The laparoscopic magnetic grasper can be particularly useful in holding the fundus during laparoscopic cholecystectomy, as it provides a gentle and controlled way of grasping and manipulating tissue. This can help to reduce the risk of tissue damage and other complications during the procedure, and can also result in faster and more efficient surgeries.

In addition to its use in laparoscopic cholecystectomy, the laparoscopic magnetic grasper has potential applications in a wide range of laparoscopic procedures, including hernia repair, colorectal surgery, and gynecologic surgery.

The laparoscopic magnetic grasper offers several advantages over traditional laparoscopic instruments, including greater precision and control, reduced risk of tissue damage and other complications, and reduced need for additional incisions during laparoscopic procedures.

However, there are also some potential limitations and challenges associated with the laparoscopic magnetic grasper. These include the need for an external magnetic field generator, which can be cumbersome and difficult to use, and the need for careful patient selection and monitoring to ensure that the device is used safely and effectively.

Overall, the laparoscopic magnetic grasper represents an exciting new technology in the field of laparoscopic surgery, with potential applications in a wide range of surgical procedures. By providing greater precision and control, and reducing the risk of tissue damage and other complications, the laparoscopic magnetic grasper can help to improve the safety and efficacy of laparoscopic procedures, and ultimately improve patient outcomes.

There is ongoing research and development in the field of laparoscopic surgery to further improve the safety, efficacy, and efficiency of surgical procedures. One area of research is the development of new laparoscopic instruments and devices, including the laparoscopic magnetic grasper, that can provide greater precision and control during surgeries.

Another area of research is the use of artificial intelligence (AI) and machine learning (ML) in laparoscopic surgery. AI and ML can help to analyze surgical data and provide real-time feedback to surgeons, improving their decision-making and reducing the risk of errors and complications.

There is also a growing interest in the use of robotic-assisted surgery in laparoscopic procedures. Robotic systems, such as the da Vinci surgical system, can provide greater precision and control than traditional laparoscopic instruments, and can also reduce the risk of tissue damage and other complications.

In addition, there is ongoing research into new techniques and approaches for laparoscopic surgery, including natural orifice transluminal endoscopic surgery (NOTES) and single-incision laparoscopic surgery (SILS). These techniques aim to further reduce the invasiveness of laparoscopic procedures, potentially leading to faster recovery times and fewer complications for patients.

Conclusion:

The laparoscopic magnetic grasper is a new and innovative device that provides greater precision and control in laparoscopic surgery. It has potential applications in a wide range of laparoscopic procedures, including laparoscopic cholecystectomy, hernia repair, colorectal surgery, and gynecologic surgery.

While the laparoscopic magnetic grasper offers many advantages over traditional laparoscopic instruments, there are also some potential limitations and challenges associated with its use. These include the need for an external magnetic field generator and the need for careful patient selection and monitoring to ensure that the device is used safely and effectively.

However, ongoing research and development in the field of laparoscopic surgery, including the use of AI and ML, the development of new laparoscopic instruments and devices, and the use of robotic-assisted surgery, are likely to further improve the safety, efficacy, and efficiency of laparoscopic procedures in the future.

By carefully evaluating the potential risks and benefits of laparoscopic procedures and incorporating new technologies and approaches, healthcare providers can provide more effective and safer treatment options for patients. Ultimately, the laparoscopic magnetic grasper and other innovative technologies in laparoscopic surgery have the potential to improve the lives of patients around the world.

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