Stoma Construction: Single-Port Laparoscopic Approach

2014 ◽  
pp. 215-219
Author(s):  
Seth Felder ◽  
Phillip Fleshner
Keyword(s):  
Single Port ◽  
Laparoscopic Approach

Single-Port Laparoscopic Approach of the Left Liver: Initial Experience

2014 ◽  
Vol 92 (9) ◽  
pp. 589-594 ◽  
Author(s):  
Judith Camps Lasa ◽  
Esteban Cugat Andorrà ◽  
Eric Herrero Fonollosa ◽  
María Isabel García Domingo ◽  
Raquel Sánchez Martínez ◽  
...  
Keyword(s):  
Single Port ◽  
Laparoscopic Approach ◽  
Initial Experience ◽  
Left Liver

Single-Port Laparoscopy and Extraperitoneal Para-Aortic Lymphadenectomy: 3 Consecutive Cases

2011 ◽  
Vol 21 (9) ◽  
pp. 1695-1697 ◽  
Author(s):  
Sébastien Gouy ◽  
Catherine Uzan ◽  
Aminata Kane ◽  
Tristan Gauthier ◽  
Philippe Morice
Keyword(s):  
Cervical Cancer ◽  
Single Port ◽  
Locally Advanced ◽  
Laparoscopic Approach ◽  
Squamous Carcinoma ◽  
Extraperitoneal Approach ◽  
Conventional Instruments ◽  
Positron Emission ◽  
Single Port Laparoscopy ◽  
The Mean

ObjectiveWe report the feasibility and the technique of single-port extraperitoneal para-aortic lymphadenectomy in locally advanced cervical cancer.MethodsThe same single port was used for the transperitoneal step (to discriminate intraperitoneal disease) and the extraperitoneal approach used thereafter (in the absence of peritoneal or ovarian spread) for the lymphadenectomy. Para-aortic lymphadenectomy was performed via the left-sided extraperitoneal approach by a 2- to 3-cm incision, which was made 1 cm above the usual incision to the left of McBurney’s point. We used conventional instruments in all cases.ResultsThree consecutive patients with cervical cancer had undergone a pretherapeutic laparoscopic staging procedure (1 stage IB2 and 2 stage IIB). The histologic types were squamous carcinoma (n = 2) and adenocarcinoma (n = 1). No patients had pelvic or para-aortic uptakes on preoperative positron emission tomography computed tomography imaging. The mean operative time was 223 minutes (range, 210–250 minutes). The mean number of lymph nodes removed was 19 (range, 15–23). The definitive pathological analysis had revealed that one patient had metastatic disease. No failures occurred with the single-port procedure, and no conversion to conventional multiport laparoscopy was reported.ConclusionsThis preliminary series reports on the feasibility of the para-aortic lymphadenectomy technique via the extraperitoneal approach with a multichannel single port using conventional instruments. Nevertheless, the safety of this procedure (compared to conventional laparoscopic approach) needs to be explored in a further larger study.

scholarly journals Experience in the implementation of the single subtotal hysterectomy laparoscopic approach

2016 ◽  
Vol 65 (1) ◽  
pp. 43-47
Author(s):  
Igor O Marinkin ◽  
Vasily A Odintsov ◽  
Andrei I Shevela ◽  
Vladimir V Anischenko
Keyword(s):  
Single Port ◽  
Surgical Techniques ◽  
Laparoscopic Approach ◽  
Economic Feasibility ◽  
Safe Method ◽  
Advantages And Disadvantages ◽  
Single Port Surgery ◽  
Subtotal Hysterectomy ◽  
Cosmetic Effect ◽  
Comparison Of The Results

A comparison of the results of subtotal hysterectomy performed by various surgical procedures (SILS, laparoscopy). Indications for these types of surgical techniques, identified the advantages and disadvantages of each method of economic feasibility. It is shown that single-port surgery is characterized by the best cosmetic effect and less postoperative pain than with classical laparoscopy. It defines the single-port surgery as a safe method of choice for endoscopic treatment of uterine pathology.

scholarly journals A 9-year experience study of single-port micro-laparoscopic repair of pediatric inguinal hernia using a simple needle

Hernia ◽  
2019 ◽  
Vol 24 (3) ◽  
pp. 639-644
Author(s):  
R. Chen ◽  
S. Tang ◽  
Q. Lu ◽  
X. Zhang ◽  
W. Zhang ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Single Port ◽  
Average Length ◽  
Operating Time ◽  
Laparoscopic Approach ◽  
Invasive Procedure ◽  
High Ligation ◽  
Laparoscopic Technique ◽  
Inguinal Hernias ◽  
Laparoscopic Techniques

Abstract Purpose As laparoscopic techniques and equipments improve, laparoscopic inguinal hernia repair has been gaining popularity. The objective of the study was to summarize 9 years of experience using a single-port micro-laparoscopic approach to repair pediatric inguinal hernias with a simple hernia needle. Methods 1880 children with inguinal hernias were enrolled using micro-laparoscopic surgery between June 2009 and 2018. All patients underwent high ligation surgery using a single-port micro-laparoscopic technique. The clinical data were retrospectively analyzed. Results All micro-laparoscopic surgeries were successfully performed in the 1880 patients, who ranged in age from 2 months to 14 years (3.66 ± 2.96 years) including 1622 males and 258 females. Among them, 1299 cases were unilateral hernias and 581 cases were bilateral hernias. The average operating time was 12.5 ± 3.5 min for a unilateral hernia and 20.5 ± 4.5 min for bilateral hernias. All patients were discharged 1–2 days after surgery, and the average length of their hospital stay was 2–4 days. Complications of knot reaction and pneumoscrotum occurred in 5 cases (0.27%) and 54 cases (2.87%), respectively, but these cases were properly managed, with no major impact on the operational outcomes. All patients were followed up for 3–65 months; there were 13 recurrent cases (0.69%). Conclusions Single-port micro-laparoscopic herniorrhaphy in children using a simple hernia needle is a reliable and minimally invasive procedure.

scholarly journals FIRST SINGLE-PORT LAPAROSCOPIC PANCREATECTOMY IN BRAZIL

2013 ◽  
Vol 50 (4) ◽  
pp. 310-312 ◽  
Author(s):  
Marcel Autran Cesar MACHADO ◽  
Rodrigo Cañada Trofo SURJAN ◽  
Fábio Ferrari MAKDISSI
Keyword(s):  
Distal Pancreatectomy ◽  
Single Incision ◽  
Single Port ◽  
Laparoscopic Approach ◽  
Surgical Trauma ◽  
Spleen Preserving ◽  
Novel Technique ◽  
The Past ◽  
Advanced Access ◽  
Access Surgery

ContextPancreatic surgery is an extremely challenging field, and the management of pancreatic diseases continues to evolve. In the past decade, minimal access surgery is moving towards minimizing the surgical trauma by reducing numbers and size of the port. In the last few years, a novel technique with a single-incision laparoscopic approach has been described for several laparoscopic procedures.ObjectivesWe present a single-port laparoscopic spleen-preserving distal pancreatectomy. To our knowledge, this is the first single-port pancreatic resection in Brazil and Latin America.MethodsA 33-year-old woman with neuroendocrine tumor underwent spleen-preserving distal pancreatectomy via single-port approach. A single-incision advanced access platform with gelatin cap, self-retaining sleeve and wound protector was used.ResultsOperative time was 174 minutes. Blood loss was minimal, and the patient did not receive a transfusion. The recovery was uneventful, and the patient was discharged on postoperative day 4.ConclusionsSingle-port laparoscopic spleen-preserving distal pancreatectomy is feasible and can be safely performed in specialized centers by skilled laparoscopic surgeons.

scholarly journals Patient preference matters: cholecystectomy for uncomplicated gallbladder diseases should be performed by single port laparoscopy

2017 ◽  
Vol 4 (4) ◽  
pp. 1327
Author(s):  
Juan M. Romero-Marcos ◽  
M. Pau Carbonell-Aliaga ◽  
José M. Muñoz-Pérez ◽  
Silvia Tejada-Gavela ◽  
Pilar Sanchis-Cortés ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Single Port ◽  
Laparoscopic Approach ◽  
Low Complexity ◽  
Wound Complications ◽  
Surgical Time ◽  
Gallbladder Diseases ◽  
Conventional Laparoscopic ◽  
Single Port Laparoscopy ◽  
Patient Opinion

Background: Laparoscopic cholecystectomy for uncomplicated gallbladder diseases (UGD) is a low-complexity procedure with little morbidity. Single port approach (SPA) benefits are unclear. Our aim is to identify any advantages by evaluating both the clinical outcomes of this approach and also patient opinion, following a year of implementation in our institution.Methods: Data from patients operated on during 2015 for UGD by SPA or conventional laparoscopic approach (CLA) were collected. Patients were asked to answer a telephone questionnaire 4-6 months after the operation.Results: 47 patients were operated on by SPA (SP group) and 117 by CLA (CL group). No differences were found between preoperative variables, surgical time, morbidity, length of stay or wound complications. More SP group patients reported no pain at discharge (72.3 vs 54.7%, p=0.037). 138 patients answered the questionnaire. No significant differences were found when comparing overall satisfaction. Wound aspect satisfaction was higher in the SP group (100 vs 80.9%, p=0.001). A higher proportion of CL group patients felt that had they had fewer scars, they would be more satisfied (46.8 vs 9.1%, p <0.001), and 35.1% of them opined that their satisfaction would be greater had they been operated on by SPA. In the multivariate analysis, the only variable associated with maximum overall satisfaction was wound aspect satisfaction.Conclusions: SPA is a valid alternative to CLA for UGD. It should be chosen when available, since it provides equal clinical outcomes, diminishes postoperative pain and is preferred by patients.

scholarly journals Impact of single-port laparoscopic approach on postoperative pain and cosmesis for acute appendicitis: a comparison with multi-port laparoscopic approach

2021 ◽  
Author(s):  
Kyeong Eui Kim ◽  
In Soo Cho ◽  
Sung Uk Bae ◽  
Woon Kyung Jeong ◽  
Hyung Jin Kim ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Acute Appendicitis ◽  
Laparoscopic Appendectomy ◽  
Single Port ◽  
Laparoscopic Approach ◽  
Length Of Hospital Stay ◽  
Laboratory Findings ◽  
Abdominal Emergency ◽  
Scar Assessment ◽  
Cosmetic Outcomes

Abstract Background: Acute appendicitis is the most common surgical abdominal emergency. Single-port laparoscopic appendectomy (SPLA) has been suggested potential advantages including less postoperative pain and better cosmesis. The aim of this study was to compare the postoperative pain and cosmetic outcomes between SPLA and multi-port laparoscopic appendectomy (MPLA) for acute appendicitis.Materials and methods: The study included 47 patients who underwent SPLA and 51 patients who underwent MPLA for acute appendicitis between August 2014 and November 2017. The patient scar assessment questionnaire (PSAQ) was used to assess cosmetic outcomes. Results: MPLA involved a longer median operative time than MPLA (60 vs. 47.5 minutes, p=0.02). There were no apparent differences in the time before diet tolerance, length of hospital stay, inflammatory laboratory findings including C-reactive protein and white blood cell count, and postoperative complication rate. SPLA patients had a smaller total incision length (2.0 vs. 2.5 cm, p<0.001) and the total number of analgesics used on postoperative day 0 in the SPLA group was significantly lower than that of the MPLA group (1 vs. 1, p=0.011). The PSAQ scores showed that the SPLA group had a better overall outcome than the MPLA group with respect to total score (48 vs. 55; p = 0.026), appearance (15 vs. 18; p = 0.002) and consciousness (8 vs. 10; p = 0.005), but not in the satisfaction with appearance and symptoms subscales.Conclusion: SPLA is safe and feasible and provides better cosmetic outcomes and less analgesic requirements on the day of surgery compared to MPLA.

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