Cornering: A Geometric Framework for Surgical Dissection in Minimally Invasive Surgery
as the terminal transition where opposing planes resolve into a continuous surface.ResultsCornering highlights that effective dissection depends on maintaining an appropriate three-dimensional dihedral angle between opposing surfaces, allowing the dissecting edge to remain in a planarized state. Within this framework, inefficient or unsafe dissection is interpreted as insufficient traction, inappropriate angulation, or loss of effective depth. Two modes of Cornering are identified: surface-based Cornering between tissue planes and axis-based Cornering along cylindrical structures.ConclusionsCornering provides a geometric framework that formalizes surgical dissection as a reproducible process. By extending established principles such as triangulation and traction-countertraction, it offers a practical and visually interpretable model that may support surgical education, intraoperative assessment, and technique standardization in MIS.
Authors
- Tetsuya Nakazato (ORCID: https://orcid.org/0000-0003-0984-0084)
- 김상철
- Shunsuke Omori
- Nobuo Kanazawa
- Koki Takazawa
- Hideo Mitsui
Institutions
- Tokyo Metropolitan Institute of Gerontology (JP)
Publication Details
- Journal
- Surgical Innovation
- Published
- 2026-05-11
- DOI
- https://doi.org/10.1177/15533506261451920
- Primary Topic
- Advanced Materials and Mechanics
- Type
- article
- Field-Weighted Citation Impact
- 0.00