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A Clean Sweep: Initial Experience with a Novel Intracavity Laparoscopic Cleaning Device.
Simin Golestani1, Charles Hill1, Jawad Ali2
1Department of Surgery and Perioperative Care, University of Texas at Austin Dell Seton Medical Center, Austin, TX.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|February 1, 2023
Summary
The Novel Intracavitary Laparoscopic Cleaning Device (NILCD) effectively cleans laparoscopic lenses during surgery, reducing the need for scope removal. Surgeons reported improved visualization and high satisfaction with this innovative tool.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
- Laparoscopy
Background:
- Impaired visual field is a common challenge in laparoscopic surgery.
- The Novel Intracavitary Laparoscopic Cleaning Device (NILCD) offers in-situ lens cleaning.
- Previous studies indicated good efficacy and a short learning curve in animal and cadaver models.
Purpose of the Study:
- To evaluate the efficacy of the NILCD in human laparoscopic operations.
- To assess initial surgeon experiences and satisfaction with the NILCD.
Main Methods:
- The NILCD was used in 167 laparoscopic cases across 12 institutions.
- Data collected included the rate of scope removal and surgeon feedback via surveys.
- Surgeons ranked ease of setup, insertion, adjustment, and cleaning efficacy on a 5-point Likert scale.
Main Results:
- Scope removal was avoided in 90.14% of debris events.
- 86% of users reported an improved visual field.
- High average scores were given for setup (4.56), insertion (4.10), and cleaning efficacy (4.12).
Conclusions:
- The NILCD is an effective and convenient method for in-vivo laparoscopic lens cleaning.
- The device demonstrated good surgeon satisfaction in initial human use.
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