TL;DR: A tumor-bearing right kidney was completely excised from an 85-year-old woman using a Laparoscopic approach using a newly devised method for intra-abdominal organ entrapment and a recently developed laparoscopic tissue morcellator.
TL;DR: Using a 12-mm GIA Laparoscopic stapling device, a method of organ entrapment, and a recently developed high-speed electrical tissue morcellator, laparoscopic nephroureterectomy was accomplished in an 82-year-old male with a low-grade transitional cell cancer of the renal pelvis.
Abstract: Using a 12-mm GIA laparoscopic stapling device, a method of organ entrapment, and a recently developed high-speed electrical tissue morcellator, laparoscopic nephroureterectomy was accompl...
TL;DR: In this paper, a rotational fixed, axially movable inner tube (14) is used to prevent the cutting members from twisting the severed tissue, thereby preventing any degradation of the surgeon's control.
Abstract: A morcellator (10) for removing large masses of tissues during laparoscopic procedures includes a rotationally fixed, axially movable inner tube (14) disposed within a rotating cutting member (12). The cutting member (12) is often disposed in the annular space between the inner tube (14), and an outer tube (16). A laparoscopic grasping instrument (42) is inserted through the lumen, and draws the tissue proximally through the morcellator (10). As the cutting member (12) severs tissue, the tissue is drawn into the fixed lumen of the inner tube (14). This prevents the cutting members (12) from twisting the severed tissue, thereby preventing any degradation of the surgeon's control. A novel valve (28) is provided to prevent loss of insufflation gas when no instrument traverses the lumen. The inner tube (14) can be translated distally to protect tissue, and/or other surgical implements against inadvertent contact with the cutting edge of the cutting member (12).
TL;DR: This new hysteroscopic operating technique can be expected to result in fewer fluid-related complications and to lead to a shorter learning curve when compared with conventional resectoscopy, and it appears to be easier to perform.
TL;DR: A new prototype instrument is introduced that allows quick laparoscopic removal of fibromas, ovaries, or other tissues from the abdomen that provides a safe and effective approach inside the abdominal cavity.