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Related Concept Videos

Sutures of the Skull01:22

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The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
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Endoscopic robotic suturing: The way forward.

Hung Leng Kaan1, Khek Yu Ho2

  • 1Department of General Surgery, National University Hospital, Singapore.

Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association
|March 23, 2019
PubMed
Summary
This summary is machine-generated.

This review details the evolution of surgical suturing techniques from open surgery to laparoscopic, robotic, and endoscopic platforms. It highlights advancements in minimally invasive suturing, improving wound closure and knot security.

Keywords:
Flexible endoscopyroboticssuture techniquestherapeutic endoscopy

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Area of Science:

  • Surgical techniques
  • Minimally invasive surgery
  • Medical device development

Background:

  • Traditional suturing in open surgery requires precise wound edge approximation and secure knot tying.
  • Laparoscopic surgery adapted traditional suturing for rigid instruments with limited dexterity.
  • Robotic surgery enhanced intracorporeal suturing with greater intuitiveness and instrument articulation.

Purpose of the Study:

  • To review the development and adaptation of basic suturing techniques across surgical platforms.
  • To explore the challenges and advancements in laparoscopic, robotic, and endoscopic suturing.
  • To assess the impact of robotics on endoscopic suturing for gastrointestinal procedures.

Main Methods:

  • Literature review of surgical suturing techniques.
  • Analysis of instrument development for minimally invasive procedures.
  • Comparison of suturing capabilities across laparoscopic, robotic, and endoscopic systems.

Main Results:

  • Laparoscopic suturing adapted traditional methods but faced instrument limitations.
  • Robotic suturing significantly improved intracorporeal suturing ease and dexterity.
  • Endoscopic suturing devices are emerging but present challenges, with robotics showing promise.

Conclusions:

  • Suturing techniques have evolved significantly with surgical technology advancements.
  • Robotics offers enhanced capabilities for intracorporeal and endoscopic suturing.
  • Further development is needed to optimize endoscopic suturing, particularly with robotic integration.