Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Video

Updated: May 11, 2026

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
06:39

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

Published on: November 22, 2019

Multiple organ retraction during urological laparoscopic surgery.

Tetsuo Nozaki1, Tomonori Katoh, Akihiro Morii

  • 1Department of Urology, Graduate School of Medicine and Pharmaceutical Sciences for Research, University of Toyama, Toyama, Japan. nozaki0921@yahoo.co.jp

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|May 9, 2013
PubMed
Summary

This study introduces a novel technique using the Flex Arm™ surgical holder for improved organ retraction in laparoscopic surgery. This method enhances surgical field stability and reduces instrument migration and organ injury.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Pregnancy and perinatal outcomes following PIEZO-ICSI with vitrified-warmed single blastocyst transfer: a retrospective cohort study.

Journal of assisted reproduction and genetics·2026
Same author

Laparoscopic Ureteral Substitution Using the Appendix for Complete Stenosis of the Middle Ureter due to Ureteral Stone in an Elderly Patient: A Case Report.

IJU case reports·2025
Same author

Retroperitoneal Laparoscopic Right Heminephrectomy for Renal Cell Carcinoma in a Horseshoe Kidney.

IJU case reports·2025
Same author

Comprehensive mathematical modeling of age-dependent oocyte quality and quantity for predicting live birth rate.

Frontiers in endocrinology·2025
Same author

Summary of the Clinical Practice Guidelines for Male Infertility by the Japanese Urological Association With the Support of the Japan Society for Reproductive Medicine.

International journal of urology : official journal of the Japanese Urological Association·2025
Same author

A Large Study About Reproductive Factors That Predict Hysterosalpingography-Identified Tubal Pathology: An Insight into the Necessity of Preconception Screening.

Journal of clinical medicine·2025

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Instrumentation
  • Urological Laparoscopy

Background:

  • Adequate surgical exposure is crucial in both open and laparoscopic surgery.
  • Maintaining a stable surgical field is essential for procedural success and patient safety.
  • Current laparoscopic techniques can face challenges with consistent organ retraction and exposure.

Purpose of the Study:

  • To describe a surgical technique utilizing the Flex Arm™ surgical holder for multiple organ retraction during laparoscopic procedures.
  • To evaluate the effectiveness of this technique in achieving a stable surgical field and adequate exposure.
  • To assess the impact of the technique on reducing instrument migration and organ injury.

Main Methods:

  • The Flex Arm™ surgical holder, an adjustable articulating instrument holder, was employed.

More Related Videos

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
08:26

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

Related Experiment Videos

Last Updated: May 11, 2026

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
06:39

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

Published on: November 22, 2019

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
08:26

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

  • The device allowed for simultaneous positioning of multiple laparoscopic instruments (up to three arms).
  • The technique was applied in various urological laparoscopic surgeries, including prostatectomy, nephrectomy, and pyeloplasty.

    • Main Results:

    • Significant improvements were observed in the efficiency of retracting organs such as the liver, kidney, colon, and prostate.
    • The method ensured a constant surgical field through optimal retractor positioning and isometric force application.
    • Consistent exposure was maintained throughout the procedures.

    Conclusions:

    • The Flex Arm™ surgical holder technique substantially reduces instrument migration caused by muscle fatigue.
    • The method minimizes the risk of organ injury associated with excessive retractor force.
    • This technique holds potential benefits for urological and other surgical departments employing laparoscopic approaches.