RESUMEN
BACKGROUND: Carpal tunnel decompression is commonly performed open or endoscopically. Carpal tunnel release using the KnifeLight instrument (Stryker, Kalamazoo, MI) is an alternative method established in 2000. METHOD: The instrument has a cutting blade placed between two blunt flat tips with an integrated light source which helps to locate the tool blade by transillumination through the tissues. The instrument is inserted into an opening made in the wrist crease and transverse carpal ligament and used to divide the ligament. CONCLUSION: This is a simple, efficient, and reproducible alternative for carpal tunnel decompression.
Asunto(s)
Síndrome del Túnel Carpiano , Síndrome del Túnel Carpiano/cirugía , Descompresión Quirúrgica , Humanos , Procedimientos Quirúrgicos Mínimamente Invasivos , Instrumentos QuirúrgicosRESUMEN
BACKGROUNDS/AIMS: This study aims to describe our experience with minimally-invasive distal pancreatectomies, with emphasis on the comparison between robotic distal pancreatectomy (RDP) and laparoscopic distal pancreatectomy (LDP). METHODS: Retrospective review of 102 consecutive RDP and LDP from 2006 to 2019 was performed. RESULTS: There were 27 and 75 patients who underwent RDP and LDP, respectively. There were 12 (11.8%) open conversions and 16 (15.7%) patients had major (ï¼grade 2) morbidities. Patients who underwent RDP had significantly higher rates of splenic preservation (44.4% vs. 13.3%, p=0.002), higher rates of splenic-vessel preservation (40.7% vs. 9.3%, p=0.001), higher median difficulty score (5 vs. 3, p=0.002) but longer operation time (385 vs. 245 minutes, pï¼0.001). The rate of open conversion tended to be lower with RDP (3.7% vs. 14.7%, p=0.175). CONCLUSIONS: In our institution practice, both RDP and LDP were safe and effective. The use of RDP appeared to be complementary to LDP, allowing us to perform more difficult procedures with comparable postoperative outcomes.