[Our experience with free hand camera].
OBJECTIVE
The evaluation of the contribution of Free Hand camera to laparoscopic resection of colon sigmoideum in clinical praxis.


METHODS
Free Hand camera is an automatic camera system controlled by a surgeon. In the prospective-retrospective trial we have compared two groups of 20 patients together. In the first group there were patients with laparoscopic resection of colon sigmoideum with the Free hand camera usage and in the second group there were patients with laparoscopic resection of colon sigmoideum with a human assistant. We evaluated the length of surgery and surgeon's comfort. The intraoperative data of both of the patient groups were compared with the usage of physiological and operative score (POSSUM).


RESULTS
The length of surgery in the group with the human assistant and Free Hand camera were 149, and 161 minutes respectively. There is no statistically significant difference in the length of surgery (p = 0.05) in both of the groups. The surgeon in both of the patient groups evaluated the operative view and comfort as good.


CONCLUSIONS
The pilot study has shown the usability of Free Hand in praxis. The daily usage of Free Hand camera is possible in elective as well as acute surgeries after managing of the learning curve.
Zentrum für Viszeral und Minimal Invasive Chirurgie, Wesseling, Koln am Rhein, Nemecko, Chefarzt. pavel.zonca@hotmail.co.uk
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Zonca
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Brenig
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Henkel
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Jacobi
D012809:Colon, Sigmoid / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D012371:Robotics; D020535:Video-Assisted Surgery / Q000295:instrumentation*