7758 The New Generation Articulated Laparoscopy in Gynecologic Surgery

Abstract

<h3>Study Objective</h3> To discuss the advantages and disadvantages of a novel articulated laparoscopic device compared to conventional laparoscopy and to demonstrate its benefits using a simulator model. <h3>Design</h3> Educational video. <h3>Setting</h3> Laparoscopic simulator box at a simulation center. <h3>Patients or Participants</h3> We present a novel articulated laparoscopic instrument and our experience with the implementation of this device using a simulator box. <h3>Interventions</h3> The standardized Fundamental laparoscopic skill (FLS) peg transfer, tip positioning and laparoscopic suturing. <h3>Measurements and Main Results</h3> Conventional laparoscopy requires high skills mainly due to challenging ergonomics and a two-dimensional vision. Robotic surgery flourished as it improves precision with wristed instruments making surgical movements more intuitive and easier to master. However, limitations of robotic surgery include the absence of haptic or tactile feedback and a higher cost. Additionally, availability may be a problem in certain settings. We present a novel hand-held articulated laparoscopic device that provides haptic feedback, short set up time, and lower cost while improving precision and dexterity with wristed instruments. <h3>Conclusion</h3> This novel articulated laparoscopic instrument may be an option to offer minimal invasive surgery with increased dexterity at a lower cost compared with robotic surgery. This option potentially combines the benefits of conventional laparoscopy and robotic surgery. Future research is needed to determine the learning curve and operative advantages of this device.