Effectiveness of grasping and duration of clamping using laparoscopic graspers
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
Manipulating tissue with laparoscopic forceps is more difficult than using the hands. This study investigates the effectiveness of grasping and the duration of tissue-clamping using laparoscopic forceps.
Video recordings of 10 laparoscopic colectomies and 15 cholecystectomies were analyzed using time-action analysis.
The results indicated that 62% of the grasping actions were successful: the tissue was clamped sufficiently to perform an action. Of all the clamping actions on the colon, 10% were repeated actions. On the gallbladder 7% were repeated actions. The bowel slipped out of the grasper in 7% of the clamping actions, whereas the gallbladder slipped in 17%. In 89%, the colon was clamped less than 1 min. The maximum clamping time was 7 min for the colon, and 55 min for the gallbladder.
The low percentage of successful grasping actions indicates that the design of laparoscopic graspers is not optimal.
- Bannenberg JJG, Hoebe CH, Sjoerdsma W, Meijer DW, Klopper PJ (1994) Tissue damage by atraumatic bowel clamps [abstract]. Min Invas Ther 3 (Suppl 1): 37
- den Boer KT, Herder JL, Sjoerdsma W, Meijer DW, Gouma DJ, Stassen HG (1999) Sensitivity of laparoscopic dissectors. What can you feel? Surg Endosc 13: 869–873 CrossRef
- Cartmill JA, Shakeshaft AJ, Walsh WR, Martin CJ (1999) High pressures are generated at the tip of laparoscopic graspers. Aust NZ J Surg 69: 127–130 CrossRef
- Claus GP, Sjoerdsma W, Jansen A, Grimbergen CA (1995) Quantitative standardised analysis of advanced laparoscopic surgical procedures. Endosc Surg Allied Technol 3: 210–213
- Hoenig DM, Chrostek CA, Watt D, Amaral JF (1994) Are atraumatic bowel clamps truly atraumatic? Min Invas Ther 3: 95–98 CrossRef
- Joice P, Hanna GB, Cuschieri A (1998) Errors enacted during endoscopic surgery: a human reliability analysis. Appl Erg 29: 409–414 CrossRef
- Kimura T, Goto H, Takeuchi Y, Yoshida M, Kobayashi T, Sakuramachi S, Harada Y (1996) Intraabdominal contamination after gallbladder perforation during laparoscopic cholecystectomy and its complications. Surg Endosc 10: 888–891 CrossRef
- Marucci DD, Shakeshaft AJ, Cartmill JA, Cox MR, Adams SJ, Martin CJ (2000) Grasper trauma during laparoscopic cholecystectomy. Aust N Z J Surg 70: 578–581 CrossRef
- Patkin M, Isabel L (1995) Ergonomics, engineering, and surgery of endosurgical dissection. J R Coll Surg Edinb 40: 120–132
- Schrenk P, Woisetschlager R, Rieger R, Wayand W (1996) Mechanism, management, and prevention of laparoscopic bowel injuries. Gast Endosc 43: 572–574 CrossRef
- Effectiveness of grasping and duration of clamping using laparoscopic graspers
Surgical Endoscopy And Other Interventional Techniques
Volume 16, Issue 9 , pp 1329-1331
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Laparoscopic instruments
- Tissue damage
- Industry Sectors
- Author Affiliations
- 1. Man-Machine Systems Group, Faculty of Design, Engineering, and Production, Delft University of Technology, Mekelweg 2, 2628 CD, Delft, The Netherlands
- 2. Department of Surgery, Academic Medical Center, University of Amsterdam, Post Office Box 22700, 1100 DE, Amsterdam, The Netherlands