Introduction: Minimally invasive surgery is still in evolution. Throughout the past two decades numerous devices have been developed to enable safer and faster procedures, including anastomosis creating devices, energy sources, and superior imaging. However, retraction capabilities were put aside and currently, organ laparoscopic retraction is based on standard laparoscopic tools. In the era of minimizing the number of ports and shrinking their size, our aim was to develop internal retraction device that could be placed in the peritoneal cavity through a standard trocar, positioned for adequate retraction, and left in place for the entire procedure. These devices would obviate the need for inserting ports dedicated for retraction only and hence contribute to the reduction of the number of incisions. Herein, we present our initial experience with a novel internal liver retractor.
Laparoendoscopic single-site surgery cholecystectomy using a novel retraction device
Anthony Yuen-Bun Teoh, Jeff Siu-Wang Wong, Philip Wai-Yan Chiu, Paul Bo-San Lai and Enders Kwok-Wai Ng
The Endograb™ grasping and maneuvering system was proved as a safe and effective method to improve gallbladder retraction during LESS cholecystectomy. By eliminating the need for an extra trocar for retractor, EndoGrab™ reduced instrumental crowding of the para-umbilical incision. EndoGrab™ also showed the potential to be used successfully in additional organ retraction.
Initial results of reduced port laparoscopic gastrectomy for gastric cancer
Atsushi Iida, Takanori Goi, Daisuke Fujimoto, Yasuo Hirono, Takuma Nishino, Shigehiro Yokoi, Takeshi Watanabe, Tamotsu Togawa, Toshihisa Kimura, Hidenori Fujii
The use of EndoGrab™ laparoscopic maneuvering system allowed the procedure of a single-incision laparoscopic right hemicolectomy procedure was enabled for colon malignancy, overcoming the technical problems related to SILC (such as instrument crowding, in-line viewing, insufficient countertraction). EndoGrab™ presented excellent short-term outcomes. The use of the EndoGrab™ was essential to maintain minimal invasiveness and oncological safety, especially in difficult situations such as an unfavorable visual angle when performing a lymph node dissection around the middle colic vessels.
Utility of an Internal Retractor (EndoGrab) for the Management of the Vesicouterine Ligamentb during Laparoscopic Radical Hysterectomy
Eiji Kobayashi Mamoru Kakuda Yusuke Tanaka Akiko Morimoto Tomomi Egawa-Takata Shinya Matsuzaki Yutaka Ueda Kiyoshi Yoshino Tadashi Kimura
Leveraging EndoGrab™ proprietary MicroAnchoring™ technology ,Surgeons were able to easily reproduce a suitable surgical view that simulated the one obtained by an abdominal route for radical hysterectomy. Radical hysterectomies in all 17 cases was completed with no ureteral injuries.
Advantages of Minimal Incision Laparoscopic Cholecystectomy
Nasser Sakran MD1,2, David Goitein MD1,3, Asnat Raziel MD1, Dan Hershko MD3 and Amir Szold MD1
Two novel stand-alone maneuvering devices: EndoGrab™ and EndoLift™ were introduced during laparoscopic procedure. The gallbladder is retracted supero-laterally by the EndoGrab™ device, facilitating dissection of the structures at the Calot triangle
Single-incision laparoscopic cholecystectomy: lessons learned for success
Noam Shussman • Avraham Schlager • Ram Elazary • Abed Khalaileh • Andrei Keidar • Mark Talamini • Santiago Horgan • Avraham I. Rivkind • Yoav Mintz
The EndoGrab™ single hand application system shows an improved surgeon’s ability to perform both a safe and efficient laparoscopic procedure. EndoGrab™ retraction capabilities are versatile, retracting angels can be changed during the procedure as needed.
Providing more through less: current methods of retraction
in SIMIS and NOTES cholecystectomy
Avraham Schlager • Abed Khalaileh • Noam Shussman • Ram Elazary •
Andrei Keidar • Alon J. Pikarsky • Avi Ben-Shushan • Oren Shibolet • Santiago Horgan •Mark Talamini • Gideon Zamir • Avraham I. Rivkind • Yoav Mint
The EndoGrab™ single hand application is an easy-to-use surgeons’ support system, demonstrating optimal retraction and exposure during laparoscopic procedures, with no complications