Annual Scientific Report

IDIBAPS IN FIGURES
Surgical innovations
Another way of exerting an impact upon patient care through research is surgical innovation. It is also possible to improve the
processes that take place in the operating room through experimental surgical facilities and the daily experience of many of
the investigators of the IDIBAPS – Hospital Clínic, as well as collaboration with pioneering companies.
Some of the advances made during 2010 by different IDIBAPS teams are:
Area 3
Gynaecological endocrinology and human reproduction
The use of minimally invasive surgical techniques is
one of the options for improving the medical care of
our patients. This makes it essential to investigate
surgical innovations with a view to expanding procedures
of this kind. Minimally invasive surgery is a
surgical innovation representing a clear quality marker
for the benefit of patients.
Our group was the first to introduce such minimally
invasive techniques in both benign and malignant
gynaecological diseases. In this context, we have extensive
experience in the conservative management
of fertility in cervical cancer patients (Pahisa J, Int J
Gynecol Cancer 2010); have been the first to describe
the learning curve associated with the conservative
treatment of severe deep endometriosis via laparoscopy
(Carmona F, Fertil Steril 2009); and have gained
extensive experience in the detection of the sentinel
node in laparoscopically treated gynaecological cancers - with the description of a specific technique for detecting the mentioned
node in endometrial cancer (Torné A, Rev Esp Med Nuc 2009).
Our recent research activity has focused on demonstrating that the inflammatory response and haemodynamic effects of a
type of ultra-minimally invasive surgery known as LESS (Laparoendoscopic Single-site Surgery) in experimental animals (Yorkshire
pigs) are similar to those found in conventional laparoscopic surgery. On the other hand, we have introduced a new technique
for improving the intraoperative search for sentinel nodes in difficult locations, based on the use of a portable gamma
camera (Vidal S, J Nucl Med 2010).
Area 3
Gastrointestinal and pancreatic oncology
Innovation and minimum invasiveness in surgery
The experimental research conducted by IDIBAPS-Hospital Clínic, as
well as close participation of the industrial sector, have allowed the
development of surgical innovation, paving a new way towards the
obtainment of improved results in patient care. The development of a
technological application through new experimental procedures aims
to offer a practical demonstration of the feasibility and safety of a new
technical resource for transfer to the operating room and to the patient
- avoiding its inherent risks and taking advantage of its benefits, with
the objective of minimizing tissue damage, reducing pain, and shortening
the time to healing and recovery.
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