This study was designed to evaluate the efficacy of a new flexible vid
eolaparoscope. The Fujinon EVL-F has standard control knobs which defl
ect a flexible tip at the end of a rigid section. In addition, there a
re standard controls for irrigation and suction as well as an instrume
nt channel. Twenty-eight procedures were performed on 22 patients. The
advantages of this instrument include the ability to perform a more t
horough exploration of the abdomen and improved image quality. In addi
tion, the instrument channel provides the capability to irrigate, suct
ion, perform cholangiograms, or pass dissecting instruments via the la
paroscope, thus reducing the required number of trocar sites.