IPEG 2020 TOP ABSTRACT: First Laparoscopic Pediatric Nissen Fundoplication using the Human Xtensions Handheld Software-driven Platform

October 14, 2020
Thomas M Benkoe, MD, PhD
Thomas Benkoe|Thomas Benkö|Tom Benkö Kinderchirurg|Thomas Benkö Kinderchirurgie|Thomas Benkoe Pediatric Surgery

Thomas M Benkoe, MD, PhD; Martin L Metzelder, MD, PhD; Department of Pediatric Surgery, Medical University of Vienna

Aim of the study: To present the safety and feasibility of the laparoscopic Human XtensionsTM handheld software-driven platform in pediatric surgery.

Video presentation: The Human extension HandXTM System is a new fully articulating 5mm software driven laparoscopic platform. The video shows a pediatric laparoscopic Nissen fundoplication performed in a 12 year old male patient suffering from gastroesophageal reflux disease for three years presenting with histologically confirmed esophagitis with confluent ulcers in the distal esophagus. The most demanding steps concern the creation of the retroesophageal space and the hiatoplasty. The presented device offers the technical benefits of robotic surgery via a handheld platform to overcome the limitations of non-articulating instruments. The key steps are performed using the new platform including controlled stitching of the hiatus and intracorporal slip knot formation.

Conclusion: The presented video highlights the first pediatric laparoscopic fundoplication using the HandXTM System.

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