PubMed · 4742017
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J Hacker. 1973-09-20. [Current fiber-endoscopy].. https://pubmed.ncbi.nlm.nih.gov/4742017/
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A novel retractor has been designed to achieve atraumatic retraction of the liver and displacement of hollow viscera during endoscopic surgery. The functional section of the instrument, when locked, forms a silicon-covered uniplanar hook which can be deployed for horizontal lift of solid organs such as the liver or be used to engage bowel for displacement from the operative field. Following laboratory testing, the instrument has been evaluated clinically and its ease of deployment and atraumatic nature have been confirmed. It has been found to be particularly effective for elevation of the thick fatty left lobe of the liver during antireflux surgery.
Recently a number of manufacturers have developed three-dimensional (3-D) video systems which significantly improve visualization and enhance the ability of the surgeon to perform delicate endoscopic dissection and suturing. These 3-D video systems may also improve the education of surgeons-in-training as they would have a better understanding of three-dimensional anatomy during laparoscopic surgery. Most of the 3-dimensional stereoendoscopic video systems currently available have four basic principles of stereoendoscopic image processing in common: image capture, conversion of 60-120 Hz images; presentation of left and right images on a single monitor; and separation of the left and right eye images. Skill tests performed assessing laparoscopic suturing and knot tying have demonstrated a 25% increase in speed and accuracy of these laparoscopic tasks when utilizing a three-dimensional video imaging greatly facilitates the efficiency of endoscopic reconstructive procedures. While three-dimensional video imaging systems are more costly than conventional two-dimensional video equipment, the enhanced depth perception produced by 3-D endoscopes has been demonstrated to improve the performance of minimally invasive surgical procedures.