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Potential Indications for Intraoperative Conversion: “Lost Needle” during Laparoscopic or Robotic Pancreatoduodenectomy

Authors
 Zhanay Zhassanov  ;  Su Hyeong Park  ;  Chang Moo Kang 
Citation
 Annals of Robotic and Innovative Surgery, Vol.4(2) : 37-41, 2023-11 
Journal Title
Annals of Robotic and Innovative Surgery
ISSN
 2635-6678 
Issue Date
2023-11
Keywords
Needles ; Minimally invasive surgery ; Robot-assisted surgery ; Laparoscopic surgery
Abstract
Despite controversy, robotic surgery's clinical application is increasing, particularly in complex procedures like pancreatoduodenectomy (PD). However, the lack of tactile feedback poses challenges. Surgeons operating robotic consoles must consider potential organ injury and suture breakage to avoid complications. We encountered 2 cases of lost needles during minimally invasive pancreaticoduodenectomy (MI-PD). We reflect on reasons and discuss methods for locating them, while considering preventive measures. MI-PD uses small sutures and thin threads, requiring careful needle movement. Medical staff should be aware of needle entry and exit. If a needle gets lost, surgery should be immediately halted to locate it, preventing the need for conversion and ensuring patient safety.
Files in This Item:
T202306769.pdf Download
DOI
10.37007/aris.2023.4.2.37
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Chang Moo(강창무) ORCID logo https://orcid.org/0000-0002-5382-4658
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/197199
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