Ergonomics and Technical Difficulties in Laparoscopic Surgery

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38 Questions

What is the main focus of Enhanced Recovery After Surgery (ERAS)?

Minimizing patient recovery time

Which components are included in the ERAS pathway?

Preoperative, intraoperative, and postoperative care

What is the impact of ERAS on colorectal surgery, based on the systematic reviews and meta-analyses?

Decreased hospitalization duration and lower morbidity

Which factor is NOT listed as an impact of ERAS on gastric surgery?

Faster return of bowel function

In what way does ERAS represent a paradigm shift in perioperative care?

It promotes the use of evidence-based best practices

What are the unique pathophysiologic consequences of using CO2 for insufflation in laparoscopy?

Higher incidence of post-operative ileus

In which type of surgery does robotic surgery provide the most value?

Colorectal surgery

What is a potential downside of using robotic surgery?

Higher incidence of post-operative complications

What is minimized in minimally invasive surgery without compromising the quality of the surgical procedure?

Abdominal wall trauma

What is the main philosophy behind Enhanced Recovery After Surgery (ERAS)?

To minimize surgical trauma but achieve the same results with conventional surgery

What is the main focus of a philosophy of minimally invasive surgery (MIS)?

Minimizing surgical trauma but achieving the same results with conventional surgery

Which technique involves performing surgery through a natural orifice such as the rectum or vagina?

Normal Orifice Translumenal Surgery (NOTES)

What is the concept of Intralumenal Surgery?

Performing surgery inside the lumen of an organ

In the context of minimally invasive surgery, what does CO2 absorption in circulation (hypercarbia) refer to?

Respiratory function (RR or VC)

What is the main characteristic of Normal Orifice Translumenal Surgery (NOTES)?

Introduction of endoscope through a normal orifice

Which surgical procedure was specifically mentioned as an application of Normal Orifice Translumenal Surgery (NOTES)?

Cholecystectomy

What was the purpose of creating Robotic Assisted Surgery by the American army?

To perform tele-surgery

What was the doubt raised about Robotic Assisted Surgery in the text?

Increased complexity in simple procedures

What did Robotic Assisted Surgery increase?

Procedure cost

Which type of surgery involves a specialized port with multiple channels and curved instruments to avoid conflict?

Single Incision Laparoscopic Surgery (SILS)

What energy source is commonly used in surgical procedures for electrocoagulation?

Radio frequency / microwave

What type of imaging is associated with NIR fluorescent imaging and augmented reality?

3D imaging

Which surgical platform was used in the salvage endoscopic wide-field full-thickness resection of T2 rectal cancer mentioned in the text?

Rigid Surgical platform

What procedure showcases the insertion of an optical trocar with a camera and pneumoperitoneum with Veress Needle?

Laparoscopic umbilical hernia repair

What is the primary goal of Enhanced Recovery After Surgery (ERAS)?

To minimize the risk of surgical complications

In laparoscopic surgery, what is the significance of the Fulcrum effect?

It affects the visualization of the entire instrument shaft

How does the use of robotics in minimally invasive surgery address the challenge of long instruments?

By enabling more degrees of freedom and precision

What is a common technical difficulty associated with laparoscopic surgery?

Highly limited number and type of instruments due to ports

What is a key aspect of surgical education and skill training in laparoscopic surgery?

Emphasis on skills labs and simulators for hands-on practice

What is the primary focus of hybrid surgery?

Utilizing a combination of different surgical techniques

What technology is used for 3D modeling and fusion in image guided surgery?

Multiple imaging modalities (US, CT, MRI)

What is the aim of Enhanced Recovery After Surgery (ERAS)?

To achieve early recovery for patients undergoing major surgery

What is the purpose of fluorescent imaging in surgery?

To visualize specific tissues or structures during surgery using fluorescent dyes

What is the main focus of image processing in the context of image guided surgery?

Creating detailed representations of the surgical area using multiple imaging modalities

Which surgical technique involves using a camera to visualize the inside of the body?

Endoscopy

What does ERAS stand for?

Enhanced Recovery After Surgery

What are the components included in the ERAS pathway?

Preoperative, intraoperative, and postoperative care pathways

X-ray imaging is primarily used in which type of surgery?

Orthopedic surgery

Explore the ergonomics and technical challenges encountered in laparoscopic surgery, including port placement, triangulation, patient positioning, and technical difficulties such as 2D vision and the fulcrum effect. Understand the impact of these factors on surgical procedures and patient outcomes.

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