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Special Feature Integrated endoscopic looks inside surgery y Sarah Lawton “To be able to see in three-dimension inside the chest cavity was really a breakthrough in technology. And I think that will bring to the table the ability of surgeons to perform more precise, refined surgery, to give us a sense of depth that wasn’t there before,” says Dr. Marcelo DaSilva, Chief of thoracic surgery at Loyola University Medical Center (Chicago, Illinois, USA) and Assistant professor of surgery at Stritch School of Medicine (Maywood, Illinois, USA). Faster, safer, minimally invasive surgery Operating endoscopes By integrating the direct visual information provided by endoscopy with other operating techniques or imaging technologies, surgeons can also enhance the safety and reliability of surgical procedures in the operating room itself. To facilitate surgical protocols, operating endoscopes can be equipped with irrigation and suction channels. They can also include insertion channels to accommodate specialist tools such as biopsy forceps used to collect tissue samples. Despite these extra functionalities, these tools are only 1.9 – 14 mm in diameter, and range from 4 – 200 cm long, depending on their use. The Olympus 3D Imaging Solution, for example, delivers value to surgeons and patients by restoring the surgeon’s natural 3D vision and depth perception when performing Courtesy of Maquet Integrated endoscopic surgery rooms enable minimally invasive procedures (laparoscopic surgery) to be performed in a less crowded, cable-free operating environment. By focusing on ergonomics and intuitive functional control of surgical equipment and environment via touch screen, remote or speech control within the sterile area, integrated operations are often faster, easier and safer for both patient and surgeon. 22 laparoscopic procedures. Restoring depth perception reduces surgical errors and improves the speed, accuracy and precision of surgical tasks such as dissecting, grasping and suturing when compared with the use of 2D surgical video systems. The benefits are independent of a surgeon’s skill level and are based on testing conducted using a simulated surgical model. Courtesy of Olympus Traditionally, surgeons and clinicians use endoscopes to illuminate, visualise and record regions of the body that are difficult to reach, such as the respiratory and gastrointestinal tracts. Surgeons can use the results of these examinations to plan more invasive surgery. Moreover, state-of-the- art diagnostic endoscopy is even able to prevent the need for surgery altogether. Olympus presents its Endoalpha HomeScreen, integrating 3D laparoscopy B MedicalExpo e-magazine