Use of a robotic camera holder (FreeHand® ) for laparoscopic appendicectomy

Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy
Rohin MittalTan Arulampalam

Abstract

Introduction: Use of a mechanical arm to hold the laparoscopic camera has many advantages. FreeHand ® (FreeHand Ltd, Guildford, United Kingdom) is a robotic camera holder which uses head movement and infrared technology. This trial assessed the usefulness of FreeHand ® in laparoscopic appendicectomy.Material and methods: This was a single center prospective cohort study on patients undergoing emergency laparoscopic appendicectomy using FreeHand ® . Patient demographics, operative details, conversion to human camera holder and surgeon discomfort were recorded. Utilization of assistant time while not assisting was also recorded.Results: Twenty-two participants were included, with a mean age of 32 years and a mean BMI of 25.3. The mean set up time was nine minutes. There were five conversions to a manual camera holder (22.7%). There were 22 lens cleaning episodes with nine (40.9%) not requiring any lens cleaning and six (27.3%) requiring one clean. There were no peri-operative complications. Most surgeons reported minimal or no discomfort. Assistant's time was used for ward work (57%), clerking patients (36%) and for a break (7%).Conclusions: FreeHand ® can be safely used in laparoscopic appendicectomy. It provides a stable ima...Continue Reading

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Citations

Nov 5, 2019·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Tim De PauwFrank Dewaele
Jun 6, 2020·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Ali Murtaza SamarCharles Ranaboldo
Aug 28, 2020·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Matthew RadeDmitry Nepomnayshy

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