The American Journal of Surgery
Volume 200, Issue 4 , Pages 519-528 , October 2010

Optimal trocar placement for ergonomic intracorporeal sewing and knotting in laparoscopic hiatal surgery

  • Abe Fingerhut, M.D., F.A.C.S., F.R.C.P.S.(g.), F.R.C.S. (Ed.)

      Affiliations

    • First Department of Surgery, Hippocration Hospital, University of Athens Medical School, Athens, Greece
    • Corresponding Author InformationCorresponding author: Tel.: +(33) (0) 1-30650833
    • ,
  • George B. Hanna, M.D., M.B.Ch.B., Ph.D., F.R.C.S.Ed., M.Erg.S.

      Affiliations

    • Department of Surgical Oncology and Technology, St Mary's Hospital, Imperial College, London, England
    • ,
  • Nicolas Veyrie, M.D.

      Affiliations

    • Department of Digestive Surgery Hôtel-Dieu, Université Paris Descartes, Assistance Publique des Hôpitaux de Paris, Paris, France
    • ,
  • George Ferzli, M.D., F.A.C.S.

      Affiliations

    • Lutheran Medical Center, Department of Surgery, Brooklyn, NY, USA; State University of New York Downstate Medical Center, Department of Surgery, Brooklyn, NY, USA
    • ,
  • Bertrand Millat, M.D.

      Affiliations

    • Department of Visceral Surgery A, Hôpital Saint-Eloi, University Hospital Center Montpellier, Montpellier, France
    • ,
  • Nicholas Alexakis, M.D.

      Affiliations

    • First Department of Surgery, Hippocration Hospital, University of Athens Medical School, Athens, Greece
    • ,
  • Emmanuel Leandros, M.D., F.A.C.S.

      Affiliations

    • First Department of Surgery, Hippocration Hospital, University of Athens Medical School, Athens, Greece

Received 8 January 2010 ,Revised 20 January 2010

References 

  1. De Viser H, Heijnsdijk EAM, Herder JL, et al. Forces and displacement in colon surgery. Surg Endosc. 2002;16:1426–1430
  2. Meng WCS, Kwok SPY, Leung KL, et al. Optimal position of working ports in laparoscopic surgery: an in vitro study. Surg Laparosc Endosc. 1999;5:278–281
  3. Emam TA, Hanna GB, Kimber C, et al. Effect of intracorporeal extracorporeal instrument length ratio on endoscopic task performance and surgeon movements. Arch Surg. 2000;135:62–65
  4. Hanna GB, Shimi S, Cuschieri A. Optimal port locations for endoscopic intracorporeal knotting. Surg Endosc. 1997;11:397–401
  5. Hanna GB, Cuschieri A. Influence of the optical axis-to target view angle on endoscopic task performance. Surg Endosc. 1999;13:371–375
  6. Emam TA, Hanna G, Cuschieri A. Ergonomic principles of task alignment, visual display, and direction of execution of laparoscopic bowel suturing. Surg Endosc. 2002;16:267–271
  7. Hanna GB, Shimi S, Cuschieri A. Influence of direction of view, target-to-endoscope distance and manipulation angle on endoscopic knot tying. Br J Surg. 1997;84:1460–1464
  8. Kuster GGR, Innocenti FA. Laparoscopic anatomy of the region of the esophageal hiatus. Surg Endosc. 1997;11:883–893
  9. In:  Standring Susan editors. Gray's Anatomy. 39th ed.. London, UK: Elsevier Churchill Livingstone; 2005;p. 1144;ed in chief
  10. Reardon PR, Scarborough T, Matthews B, et al. Laparoscopic Nissen fundoplication: a technique for the easy and precise manufacture of a true fundoplication. Surg Endosc. 2000;14:298–299
  11. Song C, Alijani A, Frank T, et al. Mechanical properties of the human abdominal wall measured in vivo during insufflation for laparoscopic surgery. Surg Endosc. 2006;20:987–990
  12. Milad MP, Terkildsen MF. The spinal needle test effectively measures abdominal wall thickness before cannula placement at laparoscopy. J Am Assoc Gynecol Laparosc. 2002;9:514–518
  13. Hay JM, Magdeleinat P, Regnard JF. Positioning of the patient for esophageal hiatus surgery. Ann Chir. 1993;47:80–83
  14. Ferzli GH, Fingerhut A. Trocar placement for laparoscopic abdominal procedures: a simple standardized method. J Am Coll Surg. 2004;198:163–173
  15. Talebpour M, Panahi M. New aspects in laparoscopic cholecystectomy. J Laparoendosc Adv Surg Tech A. 2007;17:290–295
  16. Emam TA, Hanna G, Cuschieri A. Ergonomic principles of task alignment, visual display and direction of execution of laparoscopic bowel suturing. Surg Endosc. 2002;16:267–271
  17. Stedman's Medical Dictionary. Baltimore, MD: Lippincott Williams & Wilkins; 2006;

 The authors have no conflicts of interest to declare.

PII: S0002-9610(10)00233-3

doi: 10.1016/j.amjsurg.2010.01.029

The American Journal of Surgery
Volume 200, Issue 4 , Pages 519-528 , October 2010

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