scholarly journals Minimally Invasive Surgery for Pediatric Tumors – Current State of the Art

2014 ◽  
Vol 2 ◽  
Author(s):  
Jörg Fuchs ◽  
Luana Schafbuch ◽  
Martin Ebinger ◽  
Jürgen F. Schäfer ◽  
Guido Seitz ◽  
...  
2017 ◽  
Vol 57 (4) ◽  
pp. 197-204 ◽  
Author(s):  
Ciro Esposito ◽  
Maria Escolino ◽  
Marcela Bailez ◽  
Steve Rothenberg ◽  
Mark Davenport ◽  
...  

This study aimed to assess malpractice in paediatric minimally invasive surgery (MIS), and attitudes, prevention strategies and mechanisms to support surgeons while they are under investigation. An observational, multicentric, questionnaire-based study was conducted. The survey questionnaire was sent via mail, and it comprised four sections. Twenty-four paediatric surgeons (average age 54.6 years), from 13 different countries, participated in this study. The majority had >15 years of experience in MIS. Three (12.5%) surgeons reported a total of five malpractice claims regarding their MIS activity. The reasons for the claims were a postoperative complication in 3/5 (60%) cases, a delayed/failed diagnosis in 1/5 (20%) cases and the death of the patient in 1/5 (20%) cases. The claims concluded with the absolution of the surgeon in all cases, and monetary compensation to the claimant in two (40%) cases. Eleven (45.8%) surgeons were invited as expert counsels in medico-legal actions. Medico-legal aspects have a minimal impact on the MIS activity of paediatric surgeons. In this series, claims concluded with the absolution of the surgeon in all cases, but they had a negative effect on the surgeon’s reputation and finances. A key element in supporting surgeons while they are under investigation is always to choose a surgeon who is an expert in paediatric MIS as legal counsel. A constant update on innovations in paediatric MIS and appropriate professional liability insurance may also play a key role in reducing medico-legal consequences.


2008 ◽  
Vol 8 (4) ◽  
pp. 371-381 ◽  
Author(s):  
Pinyo Puangmali ◽  
Kaspar Althoefer ◽  
Lakmal D. Seneviratne ◽  
Declan Murphy ◽  
Prokar Dasgupta

2020 ◽  
Vol 8 (6) ◽  
pp. 1143-1158
Author(s):  
Ibrahim Hussain ◽  
Kai-Ming Fu ◽  
Juan S. Uribe ◽  
Dean Chou ◽  
Praveen V. Mummaneni

2018 ◽  
Vol 8 (1) ◽  
pp. 9-13
Author(s):  
Nikhile Mookerji ◽  
Gurpreet Malhi

Dr. Jeff  Warren, MD, FRCPC, is an associate professor at the University of Ottawa within the Department of Surgery, Division of Urology. He has been a staff Urologist since 2009 and obtained his fellowship in multi-organ transplants, including kidneys and pancreases, from the University of Western Ontario. He received his MD from the University of Ottawa in 2002 and also completed his residency at the University of Ottawa in 2007. He is currently the head of surgical foundations for all surgical residency programs at the University of Ottawa. His clinical interests are in kidney transplantation surgery, minimally invasive surgery, and medical education. Dr. Tom Skinner, MD, FRCPC, is a transplant fellow at the University of Ottawa within the Department of Surgery, Division of Urology. He received his MD from Dalhousie University in 2012 and completed his Urology residency at Queen’s University in 2017. He has a BSc. from the University of British Columbia and a MSc. from McGill University. His clinical interests are in minimally invasive surgery, renal transplantation, surgical education, and healthcare economics. During this interview, Dr. Skinner and Dr. Warren discuss the current state of transplant surgery, the biggest challenges to transplanting patients, and the future of the specialty. They also discuss robotic surgery and the Spanish model for organ donation.


2021 ◽  
Vol 6 (50) ◽  
pp. eabd5476
Author(s):  
Peter A. York ◽  
Rut Peña ◽  
Daniel Kent ◽  
Robert J. Wood

The creation of multiarticulated mechanisms for use with minimally invasive surgical tools is difficult because of fabrication, assembly, and actuation challenges on the millimeter scale of these devices. Nevertheless, such mechanisms are desirable for granting surgeons greater precision and dexterity to manipulate and visualize tissue at the surgical site. Here, we describe the construction of a complex optoelectromechanical device that can be integrated with existing surgical tools to control the position of a fiber-delivered laser. By using modular assembly and a laminate fabrication method, we are able to create a smaller and higher-bandwidth device than the current state of the art while achieving a range of motion similar to existing tools. The device we present is 6 millimeters in diameter and 16 millimeters in length and is capable of focusing and steering a fiber-delivered laser beam at high speed (1.2-kilohertz bandwidth) over a large range (over ±10 degrees in both of two axes) with excellent static repeatability (200 micrometers).


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