DEVELOPMENT OF BALLOON-BASED ORGAN RETRACTOR FOR LAPAROSCOPIC SURGERY

Abstract

Effective organ retraction is essential to ensure safe and efficient surgery, in the case of laparoscopic surgery, organ retraction is particularly difficult to achieve. Currently such as cherry dissectors are used for retraction, however the small size results in excessive stress on the organ being retracted. Therefore, we are developing a balloon-based retractor that provides similar functionality as the cherry dissector, particularly being able to pass through a small port, yet being expandable to provide a much greater contact area as well as improved traction, thus providing increased operating efficiency and improved safety in organ retraction. In this paper, the relative merits and demerits of a number of currently available retractors are compared. Parameters under consideration include shape, size, effective traction (coefficient of friction), type of actuation and ease of use. While parameters such as pressure distribution and effective traction have been objectively measured, other attributes unique to the individual mechanisms are discussed, and finally feedback is provided from surgeons regarding the respective retractor’s ease of use and perceived efficacy.