Skip to main content
SpringerLink
Log in

Basic Laparoscopic Instruments

  • Chapter
Laparoscopic Colorectal Surgery

  • 145 Accesses

Abstract

Because laparoscopic surgery permits only limited access to the surgical site, instruments designed for laparoscopy must fulfill several ergonomic conditions. Each instrument should be designed so the surgeon can easily operate all its functions with one hand, and it must be light and comfortable enough for repetitive handling during lengthy, delicate, and tedious use, for example, for extensive dissection. The instrument should be operable in all directions of free movement. In addition, the instruments should have rounded edges, and a darkened or dull surface to reduce light reflection that may darken the laparoscopic image due to the automatic light sensing of laparoscopic cameras. The surgical instrumentation needs of laparoscopic colorectal surgery are broadly outlined in Table 3.1.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Veress J. Neues Instrument zur Ausführung von Brust-oder Bauchpunktionen and Pneumothoraxbehandlung. Dtsch Med Wochenschr. 1938; 40: 1480–1481.

    Article  Google Scholar 

  2. Hasson HM. A modified instrument and method for laparoscopy. Obstet Gynecol. 1971; 110: 886–887.

    CAS  Google Scholar 

  3. Corson SL, Batzer FR, Gocial B, Maislin G. Measurement of the force necessary for laparoscopic trocar entry. J Reprod Med. 1989; 34: 282–284.

    PubMed  CAS  Google Scholar 

  4. Dunn DC, Watson CJ. Disposable guarded trocar and cannula in laparoscopic surgery: a caveat. Br J Surg. 1992; 79: 937.

    Google Scholar 

  5. Larach SW, Salomon MC, Williamson PR, Goldstein E. Laparoscopic assisted colectomy: experience during the learning curve. Colo-Proctology. 1993; 38–41.

    Google Scholar 

  6. Gazayerli MM. The Gazayerli endoscopic retractor model 1. Surg Laparosc Endosc. 1991; 1: 98–100.

    PubMed  CAS  Google Scholar 

  7. Duh QY, Way LW. Laparoscopic jejunostomy using T-fasteners as retractors and anchors. Arch Surg. 1993; 128: 105–108.

    Article  PubMed  CAS  Google Scholar 

  8. Duh QY, Way LW. Laparoscopic gastrostomy using T-fasteners as retractors and anchors. Surg Endosc. 1993; 7: 60–63.

    Article  PubMed  CAS  Google Scholar 

  9. Banting S, Shimi S, Velpen Vander G, Cuschieri A. Abdominal lift. Low-pressure pneumoperitoneum laparoscopic surgery. Surg Endosc. 1993; 7: 57–59.

    Article  PubMed  CAS  Google Scholar 

  10. Hashimoto D, Nayeem SA, Kajiwara S, Hoshino T. Laparoscopic cholecystectomy: an approach without pneumoperitoneum. Surg Endosc. 1993; 7: 54–56.

    Article  PubMed  CAS  Google Scholar 

  11. Cava A, Roman J, Gonzalez Quintela A, Martin F, Aramburo P. Subcutaneous metastasis following laparoscopy in gastric adenocarcinoma. Eur J Surg Oncol. 1990; 16: 63–67.

    PubMed  CAS  Google Scholar 

  12. Walsh DCA, Wattchow DA, Wilson TG. Subcutaneous metastases after laparoscopic resection of malignancy. Aust NZ J Surg. 1993; 63: 563–565.

    Article  CAS  Google Scholar 

  13. Clair DG, Lautz DB, Brooks DC. Rapid development of umbilical metastases after laparoscopic cholecystectomy for unsuspected gallbladder carcinoma. Surgery. 1993; 113: 355–358.

    PubMed  CAS  Google Scholar 

  14. Landen SM. Laparoscopic surgery and tumorseeding. Surgery. 1993; 114: 131–132.

    PubMed  CAS  Google Scholar 

  15. Miralles RM, Petit J, Gine L, Balaguero L. Metastatic cancer spread at the laparoscopie puncture site. Report of a case in a patient with carcinoma of the ovary. Case report. Eur J Gynaecol Oncol. 1989; 10: 442–444.

    PubMed  CAS  Google Scholar 

  16. Grainger DA, Meyer WR, Decherney AH, Diamond MP. Laparoscopic clips. Evaluation of absorbable and titanium with regard to hemostasis and tissue reactivity. J Reprod Med 1991;36:493 —495.

    Google Scholar 

  17. Hültl H. Kongress der ungarischen Gesellschaft für Chirurgie. Pester Med Chir Presse. 1909; 10: 121–122.

    Google Scholar 

  18. Von Petz A. Zur Technik der Magenresektion. Ein neuer Magen-Darmnähapparat. Zentralbl Chir. 1924; 5: 179–188.

    Google Scholar 

  19. Tomoda M. Ein neuer Magen-Darmnähapparat. Zentralbi Chic. 1937; 25: 1455–1461.

    Google Scholar 

  20. Nakayama K. Simplification of the Billroth I gastric resection. Surgery. 1954; 35: 837–843.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Section of Colorectal Surgery Research, Department of Colorectal Surgery, The Cleveland Clinic Foundation, 44195-5044, Cleveland, OH, USA

    Jeffrey W. Milsom MD (Head)

  2. Universitätsklinik und Poliklinik für Chirurgie, Universitätsklinikums Charité, 10098, Berlin, Germany

    Bartholomäus Böhm MD, PhD (Assistant Professor of Surgery)

Authors
  1. Jeffrey W. Milsom MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Bartholomäus Böhm MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 1996 Springer Science+Business Media New York

About this chapter

Cite this chapter

Milsom, J.W., Böhm, B. (1996). Basic Laparoscopic Instruments. In: Laparoscopic Colorectal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-2532-2_3

Download citation

  • DOI: https://doi.org/10.1007/978-1-4757-2532-2_3

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4757-2534-6

  • Online ISBN: 978-1-4757-2532-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation