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Minimally Invasive Surgery
Volume 2017 (2017), Article ID 6481856, 6 pages
https://doi.org/10.1155/2017/6481856
Research Article

Instrumental Mechanoreceptoric Palpation in Gastrointestinal Surgery

1Faculty of Mechanics and Mathematics, Lomonosov Moscow State University, Moscow, Russia
21st Surgery Department, Clinical Hospital No. 31, Moscow, Russia
3Department of Hospital Surgery No. 2, Therapeutic Faculty, N.I. Pirogov Russian National Research Medical University, Moscow, Russia

Correspondence should be addressed to Rozaliia F. Solodova; gro.vodolos@ayilazor

Received 30 August 2017; Accepted 28 November 2017; Published 31 December 2017

Academic Editor: Casey M. Calkins

Copyright © 2017 Rozaliia F. Solodova et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background and Aims. Small gastric or colorectal tumours can be visually undetectable during laparoscopic surgeries, and available methods still do not provide a 100% localisation rate. Thus, new methods for further improvements in tumour localisation are highly desirable. In this study, we evaluated the usage of the Medical Tactile Endosurgical Complex (MTEC) in gastrointestinal surgery for localisation of tumours. The MTEC provides the possibility of instrumental mechanoreceptoric palpation, which serves as an analogue of conventional manual palpation. Methods. Ninety-six elective surgeries were performed, including 48 open surgeries, 43 laparoscopies, and 5 robot-assisted surgeries. The 20 mm version of the MTEC tactile mechanoreceptor was used in open surgeries, and the 10 mm version in laparoscopic and robot-assisted surgeries. Results. The mean time of instrumental mechanoreceptoric palpation was 3 minutes 12 seconds for open surgeries, which constituted the early stage of the learning curve, and 3 minutes 34 seconds for laparoscopic surgeries. No side effects or postoperative complications related to instrumental mechanoreceptoric palpation were observed, and this procedure provided data sufficient for tumour localisation in more than 95% of cases. Conclusion. Instrumental mechanoreceptoric palpation performed using MTEC is a simple, safe, and reliable method for tumour localisation in gastrointestinal laparoscopic surgery.