Children's Hospital Boston surgeons remove large chest wall tumour thoracoscopically

Boston 14 January 2008A 17-year-old boy has three small scars to show for his life-saving operation thanks to a newly enabled technique that allowed his surgeons to avoid a highly invasive procedure. Using Autonomy Laparo-Angle scissors and dissectors from Cambridge Endo, Bradley Linden, MD, Director of Minimally Invasive and Computer Assisted Paediatric Surgery at Children's Hospital Boston and Christopher Weldon, MD, PhD, were able to successfully remove a very large tumour located at the apex of the chest wall without making any significant incisions.


"Normally, we would have first performed a thoracotomy, a painful incision on the chest wall, followed by another incision on the neck in order to gain access to the tumour", Dr. Linden explained. "The articulating tips of the Autonomy instruments gave us a level of access and control that traditional rigid laparoscopic instruments can't achieve in the apex of the chest."

The Autonomy instruments enabled the surgeons to cleanly dissect the tumour away through three 5 mm ports with almost no blood loss. The patient was discharged home in three days and back to school in a week. The surgery took place on September 12, 2007.

Autonomy Laparo-Angle instruments from Cambridge Endo enable less invasive surgeries because the fully articulating tips provide access to difficult areas with optimal positioning and control. The instruments map, in exact proportion, the motion of the hand holding the instrument. This allows simultaneous actions, such as articulating downward while rotating, which enable dissecting and suturing in tight spaces.

Children's Hospital Boston is home to the world's largest research enterprise based at a paediatric medical centre, where its discoveries have benefited both children and adults since 1869. More than 500 scientists, including eight members of the National Academy of Sciences, 11 members of the Institute of Medicine and 10 members of the Howard Hughes Medical Institute comprise Children's research community. Founded as a 20-bed hospital for children, Children's Hospital Boston today is a 377-bed comprehensive centre for paediatric and adolescent health care grounded in the values of excellence in patient care and sensitivity to the complex needs and diversity of children and families. Children's also is the primary paediatric teaching affiliate of Harvard Medical School.

Cambridge Endo is developing and delivering revolutionary hand-held instruments that advance least invasive surgery. In addition to its current product line, Cambridge Endo is committed to providing support and training for all their products.

Leslie Versweyveld

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