Right Hemicolectomy and Ileocecectomy: Single-Port Laparoscopic Approach

2014 ◽  
pp. 63-68
Author(s):  
Margret De Guzman ◽  
Inanc Bardakcioglu ◽  
Ovunc Bardakcioglu
Keyword(s):  
Single Port ◽  
Laparoscopic Approach ◽  
Right Hemicolectomy

scholarly journals Improving the Advantages of Single Port in Right Hemicolectomy: Analysis of the Results of Pure Transumbilical Approach with Intracorporeal Anastomosis

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Salvador Morales-Conde ◽  
Antonio Barranco ◽  
María Socas ◽  
Cristina Méndez ◽  
Isaias Alarcón ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Single Port ◽  
Laparoscopic Approach ◽  
Clinical Analysis ◽  
Right Hemicolectomy ◽  
Intracorporeal Anastomosis ◽  
Medium Size ◽  
Patient’S Satisfaction ◽  
Umbilical Incision ◽  
Mucocele Of The Appendix

Background. Single-port laparoscopic surgery has recently emerged as a method to improve patient recovery and cosmetic benefits of laparoscopic surgery. The evolution of our technique has led us to move from a periumbilical incision to a transumbilical one, avoiding the use of drain and maintaining a pure single-port approach with intracorporeal anastomosis in order to maintain the incision as smaller as possible.Method. We report a prospective clinical analysis of our first 38 patients. Oncological surgical steps were followed as during the standard laparoscopic approach, performing the anastomosis intracorporeally in all cases.Results. Mean age of 68,39 years old and an average BMI of 27,88%. (range 19,81–41,5). Most lesions were adenocarcinoma (65,8%), while the remaining were polyps (31,5%) and one a mucocele of the appendix. We moved from a periumbilical incision, initial 14 cases, into a transumbilical one, (medium size of the incision 3,25 cm). Average surgical time was 117,42 minutes. Drains was only used in our first 3 cases. Mean hospital stay was 5,2 days, (86,5% stayed less than 5 days). Total morbidity was 13%. Histological exams of the specimens showed that the oncological criteria were preserved.Conclusions. Single-port right hemicolectomy with intracorporeal anastomosis is feasible and safe. The advantages of a total intracorporeal anastomosis include that there is no need to enlarge the umbilical incision and avoid traction of the pedicle of the mesenterium of the transverse colon during the extracorporeal anastomosis. A transumbilical incision offers better cosmetic results, and the use of drains can be avoided, which increase, patient’s satisfaction.

scholarly journals OV15 EMERGENCY SURGERY OF OBSTRUCTED VENTRAL HERNIA USING TAPP TECHNIQUE: A SAFE AND FEASIBLE APPROACH

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Victor Vaello ◽  
Angela Santana ◽  
Diego Oto ◽  
Luz Juez ◽  
Raquel Arranz ◽  
...  
Keyword(s):  
Elective Surgery ◽  
Intestinal Resection ◽  
Laparoscopic Approach ◽  
Right Hemicolectomy ◽  
Postoperative Recovery ◽  
Preperitoneal Space ◽  
Open Approach ◽  
Emergency Procedures ◽  
Peritoneal Flap ◽  
Ventral Incisional Hernia

Abstract Aim to explain and show the feasibility of laparoscopic TAPP technique in emergency procedures Material and Methods we present a 71-year-old female with personal history of obesity (BMI 32) and a laparoscopic right hemicolectomy performed in 2018, presenting at the ER with a 24-hour intestinal obstruction due to incarcerated ventral incisional hernia. Results laparoscopic reduction of the hernia contents was achieved without need of intestinal resection, prior to access to the preperitoneal space, creating a peritoneal flap that was dissected around the hernia. Following closure of the hernia defect, a polypropylene mesh was placed and the peritoneal flap closed. There were no intraoperative or postoperative events and patient was discharged on 3rd POD. Conclusions laparoscopic approach to emergency hernias in selected patients doesn’t differ from elective surgery, and offers great advantages in terms of evaluation of the incarcerated elements, and postoperative recovery, especially in obese patients where a conventional open approach has higher morbidity.

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.

Single-Port Laparoscopic Right Hemicolectomy

2012 ◽  
Vol 55 (2) ◽  
pp. 134-139 ◽  
Author(s):  
Joshua A. Waters ◽  
Brian M. Rapp ◽  
Michael J. Guzman ◽  
Andrea L. Jester ◽  
Don J. Selzer ◽  
...  
Keyword(s):  
Single Port ◽  
Right Hemicolectomy ◽  
Laparoscopic Right Hemicolectomy

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.

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