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.

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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
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article

Cornering: A Geometric Framework for Surgical Dissection in Minimally Invasive Surgery

Tetsuya Nakazato, 김상철, Shunsuke Omori, Nobuo Kanazawa et al.
Surgical Innovation
Advanced Materials and Mechanics
article

Cornering: A Geometric Framework for Surgical Dissection in Minimally Invasive Surgery

Tetsuya Nakazato, 김상철, Shunsuke Omori, Nobuo Kanazawa, Koki Takazawa, Hideo Mitsui
article en

Abstract

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.

Surgical Innovation
Tokyo Metropolitan Institute of Gerontology (JP)
Openalex Percentile: Top 9%
Advanced Materials and Mechanics
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