Document Detail


A vertical scanning Doppler probe identifies blood vessels during laparoscopic surgery.
MedLine Citation:
PMID:  17177080     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Using a conventional Doppler probe, it is difficult to identify blood vessels precisely in lymph node dissection during laparoscopic surgery. METHODS: For 26 patients undergoing laparoscopic colectomy and 26 patients undergoing laparoscopic subtotal gastrectomy, we used conventional and vertical scanning Doppler probes to compare their ability to identify invisible blood vessels through differences in power output voltage. RESULTS: The vertical scanning Doppler probe was 100% successful in identifying the target blood vessels regardless of the patient's body mass index (BMI), and also was superior to the conventional Doppler probe in detection sensitivity. The vertical scanning Doppler probe was useful for image training of recently qualified surgeons through real-time monitoring of the probe position and response on the monitor. Furthermore, findings showed that the vertical scanning Doppler probe was applicable to lymph node dissection as a forceps for laparoscopic usage. CONCLUSION: The vertical scanning Doppler could identify the target blood vessels regardless of the patient's BMI. It was verified to be useful as a surgical assistive device apart from being a sensor and may serve in the education of recently qualified surgeons.
Authors:
T Ohdaira; Hideo Nagai
Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article     Date:  2006-12-20
Journal Detail:
Title:  Surgical endoscopy     Volume:  21     ISSN:  1432-2218     ISO Abbreviation:  Surg Endosc     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-04-26     Completed Date:  2007-05-08     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8806653     Medline TA:  Surg Endosc     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  782-4     Citation Subset:  IM    
Affiliation:
Department of General Surgery, Jichi Medical University, Yakushiji 3311-1, Shimotsuki, Tochigi, 329-0498, Japan. ohdairaws@jichi.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Arteries / ultrasonography
Blood Vessels / ultrasonography*
Body Mass Index
Colectomy*
Education, Medical, Graduate
Educational Technology / instrumentation
Equipment Design
Gastrectomy*
General Surgery / education
Humans
Laparoscopy*
Lymph Node Excision
Mesenteric Artery, Inferior / ultrasonography
Sensitivity and Specificity
Stomach / blood supply
Ultrasonography, Doppler / instrumentation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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