Ergonomics and Technical Difficulties in Laparoscopic Surgery
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Questions and Answers

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

  • Delaying the return to normal function
  • Increasing postoperative complications
  • Minimizing patient recovery time (correct)
  • Maximizing hospitalization duration

    • Which components are included in the ERAS pathway?

  • Intraoperative care only
  • Preoperative, intraoperative, and postoperative care (correct)
  • Postoperative care only
  • Preoperative and postoperative care only

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

  • Increased hospitalization duration but lower morbidity
  • Increased hospitalization duration and morbidity
  • Decreased hospitalization duration and lower morbidity (correct)
  • No significant impact on hospitalization duration or morbidity

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

    <p>Faster return of bowel function</p> Signup and view all the answers

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

    <p>It promotes the use of evidence-based best practices</p> Signup and view all the answers

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

    <p>Higher incidence of post-operative ileus</p> Signup and view all the answers

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

    <p>Colorectal surgery</p> Signup and view all the answers

    What is a potential downside of using robotic surgery?

    <p>Higher incidence of post-operative complications</p> Signup and view all the answers

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

    <p>Abdominal wall trauma</p> Signup and view all the answers

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

    <p>To minimize surgical trauma but achieve the same results with conventional surgery</p> Signup and view all the answers

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

    <p>Minimizing surgical trauma but achieving the same results with conventional surgery</p> Signup and view all the answers

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

    <p>Normal Orifice Translumenal Surgery (NOTES)</p> Signup and view all the answers

    What is the concept of Intralumenal Surgery?

    <p>Performing surgery inside the lumen of an organ</p> Signup and view all the answers

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

    <p>Respiratory function (RR or VC)</p> Signup and view all the answers

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

    <p>Introduction of endoscope through a normal orifice</p> Signup and view all the answers

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

    <p>Cholecystectomy</p> Signup and view all the answers

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

    <p>To perform tele-surgery</p> Signup and view all the answers

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

    <p>Increased complexity in simple procedures</p> Signup and view all the answers

    What did Robotic Assisted Surgery increase?

    <p>Procedure cost</p> Signup and view all the answers

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

    <p>Single Incision Laparoscopic Surgery (SILS)</p> Signup and view all the answers

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

    <p>Radio frequency / microwave</p> Signup and view all the answers

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

    <p>3D imaging</p> Signup and view all the answers

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

    <p>Rigid Surgical platform</p> Signup and view all the answers

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

    <p>Laparoscopic umbilical hernia repair</p> Signup and view all the answers

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

    <p>To minimize the risk of surgical complications</p> Signup and view all the answers

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

    <p>It affects the visualization of the entire instrument shaft</p> Signup and view all the answers

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

    <p>By enabling more degrees of freedom and precision</p> Signup and view all the answers

    What is a common technical difficulty associated with laparoscopic surgery?

    <p>Highly limited number and type of instruments due to ports</p> Signup and view all the answers

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

    <p>Emphasis on skills labs and simulators for hands-on practice</p> Signup and view all the answers

    What is the primary focus of hybrid surgery?

    <p>Utilizing a combination of different surgical techniques</p> Signup and view all the answers

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

    <p>Multiple imaging modalities (US, CT, MRI)</p> Signup and view all the answers

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

    <p>To achieve early recovery for patients undergoing major surgery</p> Signup and view all the answers

    What is the purpose of fluorescent imaging in surgery?

    <p>To visualize specific tissues or structures during surgery using fluorescent dyes</p> Signup and view all the answers

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

    <p>Creating detailed representations of the surgical area using multiple imaging modalities</p> Signup and view all the answers

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

    <p>Endoscopy</p> Signup and view all the answers

    What does ERAS stand for?

    <p><strong>E</strong>nhanced <strong>R</strong>ecovery <strong>A</strong>fter <strong>S</strong>urgery</p> Signup and view all the answers

    What are the components included in the ERAS pathway?

    <p><strong>Preoperative</strong>, <strong>intraoperative</strong>, and <strong>postoperative</strong> care pathways</p> Signup and view all the answers

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

    <p>Orthopedic surgery</p> Signup and view all the answers

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