CURRENT TRENDS &

STARTUPS
in laparoscopic surgery
SINGLE-PORT LAPAROSCOPY (SPL)

Uni-X™ Single-Port Access Laparoscopic System (Pnavel Systems, Morganville, New Jersey,
USA
SPK

➤ minimally invasive [1]

➤ single-entry point, typically the patient's navel

➤ leaves only a single small scar.

➤ Single incision laparoscopic sleeve gastrectomy (SILS) [2]

REAL-TIME CT AND CT FLUOROSCOPY
➤ Timing and monitoring of helical scan sequences

➤ Interventional procedures (tissue biopsy, drainage of fluid-filled lesions)

➤ Problem: dose to operator & patient

VIRTUAL REALITY AND TRAINING

➤ Haptic devices training

➤ More effective for surgeons

➤ Haptive feedback enhances

success
2015, CURRENT PROBLEMS IN SURGERY
➤ Augmented virtuality [4]
➤"display instrument positions (e.g. endoscopic camera) & patient position in
a virtual scene"
➤no RT virtual organ model update.

➤ Augmented reality
➤Data projection directly on patient
➤Can be misleading/depends on position of surgeon in relation to projector
VR & TABLETS - IMAGE REGISTRATION
/ SUPERPOSITION
XENOCORE/SALT LAKE CITY, US
➤ HD disposable laparoscope

➤ Fog-Proof

➤ Disposable / Hygienic
VIRTUALPORTS / ENDOGRAB / ISRAEL
➤ Less incisions in the
patient’s abdomen

➤ Reduction in
the procedure duration =
less risk of infection.

➤ Savings on equipment and

surgical personnel (?)
SURGE-ON / THE NETHERLANDS
➤ The Steerable Grasper (what a
name)

➤ freedom wrist function of two

degrees in the tip

➤ 70% fewer parts than current

steerable instruments
➤ Quite a lot of robotic laparoscopy => trendy
➤ Versius surgical
➤ Bit track / Rob surgical / Open Robotic system
➤ FlexDex surgical
➤ Autolap
➤ Dexter
References

[1] J. Marescaux, “Surgery Without Scars,” Archives of Surgery, vol. 142, no. 9, p. 823, Jan. 2007.
[2] A. A. Saber, M. H. Elgamal, E. A. Itawi, and A. J. Rao, “Single Incision Laparoscopic Sleeve
Gastrectomy (SILS): A Novel Technique,” Obesity Surgery, vol. 18, no. 10, pp. 1338–1342, Aug.
2008.
[3] N. Keat, “Real-time CT and CT fluoroscopy,” The British Journal of Radiology, vol. 74, no. 888,
pp. 1088–1090, 2001.
[4] D. E. Azagury, M. M. Dua, J. C. Barrese, J. M. Henderson, N. C. Buchs, F. Ris, J. M. Cloyd, J.
B. Martinie, S. Razzaque, S. Nicolau, L. Soler, J. Marescaux, and B. C. Visser, “Image-guided
surgery,” Current Problems in Surgery, vol. 52, no. 12, pp. 476–520, 2015.