Laparoscopic resection of pancreatic masses in 12 dogs.

Objective: To describe the surgical management and outcome of dogs undergoing laparoscopic pancreatic mass resection (LPMR).

Study Design: Retrospective study.

Animals: Twelve client-owned dogs.

Laparoscopic portosystemic shunt attenuation in two cats.

Case Series Summary: Gradual attenuation of an extrahepatic portosystemic shunt using cellophane banding was achieved with a laparoscopic technique in two cats. The portosystemic shunts were treated via a right or left lateral laparoscopic approach. Ultrasonography or CT angiography were used to verify the results of surgery.

Laparoscopic portosystemic shunt attenuation in 20 dogs (2018-2021).

Objective: To describe the technique, complications, and outcome of laparoscopic portosystemic shunt attenuation (LPSSA) in dogs.

Study Design: Retrospective study.

Animals: Twenty client-owned dogs.

Laparoscopic Partial Nephrectomy With Potassium-titanyl-phosphate Laser Versus Conventional Laparoscopic Partial Nephrectomy: An Animal Randomized Controlled Trial.

Objective: To explore the feasibility, safety, and short-term results of potassium-titanyl-phosphate (KTP) laser laparoscopic partial nephrectomy (KTP-LPN) vs conventional laparoscopic partial nephrectomy (C-LPN).

Materials And Methods: Thirty large white female pigs were randomized to KTP-LPN or C-LPN. Laparoscopic radical right nephrectomy was performed, and an artificial renal tumor was placed in the left kidney in 3 locations.

Muscle activity and hand motion in veterinarians performing laparoscopic training tasks with a box trainer.

Objective: To evaluate muscle activity and hand motion in veterinarians performing a standard set of laparoscopic training tasks.

Sample: 12 veterinarians with experience performing laparoscopic procedures.

Procedures: Participants were asked to perform peg transfer, coordination, precision cutting, and suturing tasks in a laparoscopic box trainer.

Assessment of Laparoscopic Skills in Veterinarians Using a Canine Laparoscopic Simulator.

The aim of the present study was to assess the content and construct validity of the Canine Laparoscopic Simulator (CLS). Forty-two veterinarians were assigned to experienced (n=12), control (n=15), and training (n=15) groups, which were assessed while performing four laparoscopic tasks on the CLS. The initial and final assessments of all tasks were performed blindly by two experienced surgeons using the Global Operative Assessment of Laparoscopic Skills (GOALS) and a task-specific checklist.

Comparison of single access devices during cut and suturing tasks on simulator.

Background: Published comparisons of the different available laparoendoscopic single-site surgery (LESS) devices focused on its economic cost and technical aspects. With this study, we aimed to objectively compare the use of three different LESS access devices in controlled experimental tasks.

Materials And Methods: Twenty subjects participated in simulator trials.

Application of a motion capture data glove for hand and wrist ergonomic analysis during laparoscopy.

Objectives: This study aims to analyze the surgeons' hand spatial configuration during the use of two different instrument handles for laparoscopy, by obtaining information from the data glove CyberGlove®, and establishing existing risk levels for wrist disorders.

Material And Methods: Fifty surgeons participated in this study and were distributed into three groups (novices, intermediate and experts). Each subject carried out suturing and dissection tasks on a physical simulator, using axial-handled or ring-handled instruments, respectively.

Ergonomics problems due to the use and design of dissector and needle holder: a survey in minimally invasive surgery.

Background: This study analyzes the problems and consequences associated with prolonged use of laparoscopic instruments (dissector and needle holder) and equipments.

Methods: A total of 390 questionnaires were sent to the laparoscopic surgeons of the Spanish Health System. Questions were structured on the basis of 4 categories: demographics, assessment of laparoscopic dissector, assessment of needle holder, and other informations.

Development and initial assessment of a training program for laparoscopic radical prostatectomy. First module: the urethrovesical anastomosis.

Purpose: We present our experience in the design and development of a training program in laparoscopic radical prostatectomy (LRP), and the validation of the first steps of the program by objective measurement of the attendants' skills improvement and subjective evaluation of its contents.

Materials And Methods: Our training model on LRP has a total duration of 42 hours, divided in two modules of 21 hours each, performed 1 month apart. Data included in the present study were obtained from the first module of our course.

Performance analysis on physical simulator of four different instrument setups in laparo-endoscopic single-site (LESS) surgery.

Background: Over the past decades, minimally invasive surgery has undergone continuous development due to the demand for scarless results, with laparo-endoscopic single-site (LESS) surgery constituting one of today's most favored alternatives. In this study, we aim to assess the relative technical difficulty and performance benefits of dynamic articulating and pre-bent instruments, either combined with conventional laparoscopic tools or not, during the completion of two basic tasks hands-on simulator.

Methods: A total of 20 surgeons were included and performed two basic simulator tasks-coordination and cutting-carried out using four different combinations of LESS-designed and straight conventional laparoscopy instruments.

Ergonomic analysis of muscle activity in the forearm and back muscles during laparoscopic surgery: influence of previous experience and performed task.

Purpose: The first aim of this study is to analyze the muscle activity in back and forearm muscles in surgeons during laparoscopic dissection and suturing maneuvers. The second aim is to determine the influence of the surgeons' previous experience in laparoscopic surgery.

Methods: A total of 30 laparoscopic surgeons were divided in 3 groups: novice suturing, novice dissecting, and experts suturing.

[New technologies in partial nephrectomy].

Objectives: We aim to analyse the role of new technologies in management of small renal cancer.

Methods: We perform a non-systematic review of the literature in Medline, Cochrane Database of Systematic Reviews between period 2000-2012, using following mesh terms: partial nephrectomy, renal ablative technologies, and renal cancer.

Results: We don't review in this article ablative technologies such as cryotherapy, radiofrequency, as they are the subject of others manuscripts within this monographic issue.

[Training and research in urologic laparoscopic surgery. Design of training programs and experimental models of renal tumor].

We present our experience with surgical training programs development for basic and advanced laparoscopic urological surgery. Both training programs consist of 21 and 28 hours respectively. Basic surgical programs start with general knowledge of ergonomics and instrumentation, there after, attendants acquire basic skills on physical simulator.

[Ergonomics in laparoscopic surgery and its importance in surgical training].

Despite the many advantages that laparoscopic surgery has for patients, it involves a series of risks for the surgeon. These are related to the reduced freedom of movement and forced postures which lead to greater muscle fatigue than with conventional surgery. In laparoscopic surgery there are few references on the introduction of training programs in ergonomics, despite the numerous advantages demonstrated in other disciplines.

[Training design and improvement of technical skills in the transvaginal cholecystectomy (NOTES)].

Introduction: The current surgical scenario of the surgery through natural orifices or <> requires acquiring new technical skills by the surgeon. We introduce the initial experience of the Minimally Invasive Surgery Centre Jesús Usón (MISCJU) in the design and setting-up of a surgical training programme using the the natural orifices approach for the acquisition of surgical skills and abilities, based on the preliminary trials in simulators and a pig model.

Material And Methods: After initial training, using a laparoscopic pelvic-trainer, 7 female pigs, with weights between 35-40 kg, were operated on.