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Vol. 99. Issue 3.
Pages 222-228 (March 2021)
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Vol. 99. Issue 3.
Pages 222-228 (March 2021)
Innovation in surgical technique
DOI: 10.1016/j.cireng.2021.02.023
Robotic-like suturing with FlexDex Surgical System® for difficult laparoscopic suture
Sutura laparoscópica mecanizada con FlexDex Surgical System® para ubicaciones anatómicamente difíciles
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María Lourdes García-Jiménez
Corresponding author
lourdesrm91@hotmail.com

Corresponding author.
, Laura Castro-Diez, Javier Aguirrezabalaga-González, José Francisco Noguera-Aguilar
Servicio de Cirugía General y del Aparato Digestivo, Complejo Hospitalario Universitario A Coruña, A Coruña, Spain
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Abstract

The field of laparoscopic surgery has experienced an exponential growth in recent years. Despite great progress in this field, standard laparoscopic tools have not been optimally developed and still have some deficiencies when it comes to mobility and ergonomics.

Robotic surgery has attempted to solve these problems by improving the articulation of surgical instruments. However, it presents a series of disadvantages, among which are its high cost, low availability and the need for specific training, which conditions its profitability and hinders widespread use.

We present the results of a prospective clinical series of 20 cases in which the safety, efficacy and ergonomics of FlexDex® have been tested for performing laparoscopic intracorporeal sutures. The result is a safe and functional tool that offers both control and precision in its handling, while improving the ergonomics of the surgeon. This device represents an alternative that combines the precision and range of movements of robotic surgery with the greater availability of conventional laparoscopy.

Keywords:
FlexDex
Innovación quirúrgica
Cirugía laparoscópica
Cirugía robótica
Cirugía mínimamente invasiva
Resumen

El campo de la cirugía laparoscópica ha experimentado un crecimiento exponencial en los últimos años. A pesar de los grandes avances en este campo, las herramientas laparoscópicas estándar no han logrado su desarrollo óptimo, presentando ciertas deficiencias en lo que a movilidad y ergonomía se refiere.

La cirugía robótica ha intentado aportar soluciones a estos problemas, sin embargo, existen inconvenientes, entre los que se encuentran su elevado coste, escasa disponibilidad y la necesidad de capacitación específica, lo que condiciona su rentabilidad y generalización de uso.

Presentamos los resultados de una serie clínica prospectiva de 20 casos, en los que se ha testado la seguridad, eficacia y ergonomía de FlexDex® para la realización de suturas intracorpóreas laparoscópicas. El resultado muestra una herramienta segura y funcional que ofrece control y precisión en su manejo, además de mejorar la ergonomía del cirujano. Este dispositivo supone una alternativa que combina la precisión y el rango de movimientos de la cirugía robótica, con la mayor disponibilidad de la laparoscopia convencional.

Palabras clave:
FlexDex
Surgical innovation
Laparoscopic surgery
Robotic surgery
Minimally invasive surgery

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