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New Small-Diameter Forceps for Thoracoscopic Surgery: Technical Adaptations and Initial Experiences.

Masaya Tamura1, Yosuke Shimizu

  • 1From the Department of Surgery, Fukui Prefectural Hospital, Fukui, Japan.

Innovations (Philadelphia, Pa.)
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New Endo Relief forceps significantly reduce grasping errors in thoracoscopic surgery. This advancement offers cosmetic benefits and maintains safety compared to conventional instruments.

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Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Surgery
  • Surgical Instrumentation

Background:

  • Thoracoscopic surgery often utilizes conventional 5-mm forceps.
  • Port-reduced techniques aim to minimize surgical invasiveness and improve cosmetic outcomes.
  • Challenges with conventional forceps can include grasping errors.

Purpose of the Study:

  • To evaluate the efficacy and safety of new small-diameter Endo Relief forceps for port-reduced thoracoscopic surgery.
  • To compare the frequency of grasping errors between Endo Relief forceps and conventional small-diameter forceps.

Main Methods:

  • Retrospective analysis of 18 patients undergoing thoracoscopic surgery with Endo Relief forceps.
  • Comparison of grasping error frequency with a historical group using conventional small-diameter forceps.
  • Assessment of surgical time, complications, and patient outcomes.

Main Results:

  • Endo Relief forceps demonstrated a significantly lower frequency of grasping errors (0.17 ± 0.23) compared to conventional forceps (1.33 ± 0.22; P = 0.022).
  • Mean surgical time was 57.5 minutes with no intraoperative complications, recurrences, or deaths.
  • No additional ports were required, indicating successful port-reduced technique.

Conclusions:

  • Endo Relief forceps are safe and effective for port-reduced thoracoscopic surgery.
  • The new forceps offer a cosmetic benefit and reduce grasping errors compared to conventional instruments.
  • This technique is suitable for experienced thoracoscopic surgeons.