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Lenssen, T.A. (author), Dankelman, J. (author), Horeman, T. (author)
Introduction: Most robotic instruments and their drives still risk residual contamination due to cleaning complexities, rendering them limited reusable, and tend to have larger instruments than the 5mm laparoscopic standard. The novel steerable laparoscopic SATA-LRS uses modularity for cleanability and exchangeability. The SATA-Drive: a...
journal article 2024
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Schrijvershof, Pim (author), Rahimi, A. Masie (author), Leone, Nicola (author), Bloemendaal, Alexander (author), Daams, Freek (author), Arezzo, Alberto (author), Mintz, Yoav (author), Horeman, T. (author)
Surgeons performing robotic-assisted laparoscopic surgery experience physical stress and overuse of shoulder muscles due to sub-optimal arm support during surgery. The objective is to present a novel design and prototype of a dynamic arm support for robotic laparoscopic surgery to evaluate its ergonomics and performance on the AdLap-VR...
journal article 2024
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Hardon, S.F. (author), Willuth, E. (author), Rahimi, A. Masie (author), Lang, F. (author), Haney, Caelan M. (author), Felinska, Eleni A. (author), Kowalewski, Karl Friedrich (author), Müller-Stich, Beat P. (author), van der Peet, Donald L. (author), Daams, Freek (author), Nickel, F. (author), Horeman, T. (author)
Introduction: Robot-assisted surgery is often performed by experienced laparoscopic surgeons. However, this technique requires a different set of technical skills and surgeons are expected to alternate between these approaches. The aim of this study is to investigate the crossover effects when switching between laparoscopic and robot-assisted...
journal article 2023
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Robertson, P.D. (author), Sterke, F. (author), van Weteringen, Willem (author), Arezzo, Alberto (author), Mintz, Yoav (author), Horeman, T. (author)
Background: During minimal access surgery, surgical smoke is produced which can potentially be inhaled by the surgical team, leading to several health risks. This smoke can escape from the abdominal cavity into the operating room due to trocar leakage. The trocars and insufflator that are used during surgery influence gas leakage. Therefore,...
journal article 2023
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Lenssen, T.A. (author), Dankelman, J. (author), Horeman, T. (author)
Background: Hospitals in low resource settings (LRS) can benefit from modern laparoscopic methodologies. However, cleaning, maintenance and costs requirements play a stronger role while training and technology are less available. Steerable laparoscopic instruments have additional requirements in these settings and need extra identified...
journal article 2022
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Sterke, F. (author), van Weteringen, Willem (author), Ventura, Lorenzo (author), Milesi, Ilaria (author), Wijnen, René M.H. (author), Vlot, J. (author), Dellacà, Raffaele L. (author)
Background: Abdominal compliance describes the ease of expansion of the abdominal cavity. Several studies highlighted the importance of monitoring abdominal compliance (C<sub>ab</sub>) during the creation of laparoscopic workspace to individualize the insufflation pressure. The lack of validated clinical monitoring tools for abdominal...
journal article 2022
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Hardon, S.F. (author), Rahimi, A. (author), Postema, R.R. (author), Willuth, E. (author), Mintz, Y. (author), Arezzo, A. (author), Dankelman, J. (author), Nickel, F. (author), Horeman, T. (author), Sanchez Margallo, J.A. (author)
The complexity of handheld steerable laparoscopic instruments (SLI) may impair the learning curve compared to conventional instruments when first utilized. This study aimed to provide the current state of interest in the use of SLI, the current use of these in daily practice and the type of training which is conducted before using SLI in the...
journal article 2022
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Willuth, E. (author), Hardon, S.F. (author), Lang, F. (author), Haney, C. M. (author), Felinska, E. A. (author), Kowalewski, K. F. (author), Müller-Stich, B. P. (author), Horeman, T. (author), Nickel, F. (author)
Background: Robotic-assisted surgery (RAS) potentially reduces workload and shortens the surgical learning curve compared to conventional laparoscopy (CL). The present study aimed to compare robotic-assisted cholecystectomy (RAC) to laparoscopic cholecystectomy (LC) in the initial learning phase for novices. Methods: In a randomized crossover...
journal article 2021
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Postema, R.R. (author), Cefai, David (author), van Straten, Bart (author), Miedema, R.S.J. (author), Lesmana Hardjo, L. (author), Dankelman, J. (author), Nickel, Felix (author), Horeman, T. (author)
Background: Complications that occur in laparoscopic surgery are often associated with the initial entry into the peritoneal cavity. The literature reported incidences of Veress needle (VN) injuries of e.g. 0.31% and 0.23%. In a 2010 national survey of laparoscopic entry techniques in the Canadian General Surgical practice, 57.3% of...
journal article 2021
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Robertson, P.D. (author), Gnanaraj, Jesudian (author), Wauben, L.S.G.L. (author), Huijs, Jan (author), Samuel, Vasanth Mark (author), Dankelman, J. (author), Horeman, T. (author)
Background: Laparoscopy is a minimally-invasive surgical procedure that uses long slender instruments that require much smaller incisions than conventional surgery. This leads to faster recovery times, fewer post-surgical wound infections and shorter hospital stays. For these reasons, laparoscopy could be particularly advantageous to patients...
journal article 2021
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Overtoom, Evelien M. (author), Horeman, T. (author), Jansen, F.W. (author), Dankelman, J. (author), Schreuder, Henk W.R. (author)
OBJECTIVES: To provide a systematic overview of the literature assessing the value of haptic and force feedback in current simulators teaching laparoscopic surgical skills. DATA SOURCES: The databases of Pubmed, Cochrane, Embase, Web of Science, and Google Scholar were searched to retrieve relevant studies published until January 31st, 2017....
review 2019
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van den Haak, Lukas (author), de Kroon, Cor D. (author), Warmerdam, Milo I. (author), Siebers, Albert G. (author), Rhemrev, Johann P. (author), Nieboer, Theodoor E. (author), Jansen, F.W. (author)
Objective: To estimate the risk of uterine leiomyosarcoma in patients undergoing gynecological surgery and also to identify groups at risk for unrecognized uterine leiomyosarcoma. Methods: A national cohort study was performed evaluating all uterine leiomyosarcoma (ULMS) diagnosed in The Netherlands between January 2000 and September 2015....
journal article 2019
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Hardon, S.F. (author), van Kasteren, R. J. (author), Dankelman, J. (author), Bonjer, H. J. (author), Tuynman, J. B. (author), Horeman, T. (author)
Background: Transanal total mesorectal excision (TaTME) is associated with a relatively long learning curve. Force, motion, and time parameters are increasingly used for objective assessment of skills to enhance laparoscopic training efficacy. The aim of this study was to identify relevant metrics for accurate skill assessment in more complex...
journal article 2019
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van Den Haak, Lukas (author), van der Eijk, A.C. (author), Sandberg, Evelien M. (author), Frank, Gerard Peter G.M. (author), Ansink, Karin (author), Pelger, R.C.M. (author), de Kroon, Cor D. (author), Jansen, F.W. (author)
Background: To assess potential risks of new surgical procedures and devices before their introduction into daily practice, a prospective risk inventory (PRI) is a required step. This study assesses the applicability of the Health Failure Mode and Effects Analysis (HFMEA) as part of a PRI of new technology in minimally invasive gynecologic...
journal article 2018
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Driessen, Sara R C (author), Sandberg, Evelien M. (author), Rodrigues, Sharon P. (author), van Zwet, Erik W. (author), Jansen, F.W. (author)
Background: Since the introduction of minimally invasive surgery (MIS), concerns for patient safety are more often brought to the attention. Knowledge about and awareness of patient safety risk factors are crucial in order to improve and enhance the surgical team, the environment, and finally surgical performance. The aim of this study was to...
journal article 2017
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Xiao, D.J. (author)
With the introduction of minimally invasive surgery (MIS), the patient experiences the benefits of less pain, a more rapid recovery and a shorter stay in hospital. However, MIS provides many challenges to surgeons and they need extensive training to acquire this new technique. This training consists of developing cognitive, clinical, and...
doctoral thesis 2014
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Botden, S.M.B.I. (author), De Hingh, I.H.J.T. (author), Jakimowicz, J.J. (author)
Background: Providing informative feedback and setting goals tends to motivate trainees to practice more extensively. Augmented Reality simulators retain the benefit of realistic haptic feedback and additionally generate objective assessment and informative feedback during the training. This study researched the performance curve of the adapted...
journal article 2008
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Van Den Dobbelsteen, J.J. (author), Schooleman, A. (author), Dankelman, J. (author)
journal article 2007
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Verdaasdonk, E.G.G. (author), Stassen, L.P.S. (author), Van Der Elst, M. (author), Karsten, T.M. (author), Dankelman, J. (author)
journal article 2007
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Verdaasdonk, E.G.G. (author), Stassen, L.P.S. (author), Schijven, M.P. (author), Dankelman, J. (author)
journal article 2007
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