Single-port laparoscopic surgery: Is a single incision the next frontier in minimally invasive gynecologic surgery?

2009 ◽  
Vol 114 (2) ◽  
pp. 143-144 ◽  
Author(s):  
Pedro T. Ramirez
Keyword(s):  
Laparoscopic Surgery ◽  
Minimally Invasive ◽  
Single Incision ◽  
Single Port ◽  
Gynecologic Surgery

scholarly journals Single-Port Laparoscopic Surgery in Children: Concept and Controversies of the New Technique

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Felix C. Blanco ◽  
Timothy D. Kane
Keyword(s):  
Laparoscopic Surgery ◽  
Minimally Invasive ◽  
Pediatric Surgery ◽  
Single Incision ◽  
Single Port ◽  
Single Incision Laparoscopic Surgery ◽  
Alternative Technique ◽  
Minimally Invasive Techniques ◽  
Broad Application ◽  
Invasive Techniques

Single-incision laparoscopic surgery (SILS) is emerging as an alternative technique to conventional laparoscopy for the treatment of common surgical diseases. Despite its wide use, the adoption of SILS in children has been slower since the broad application of minimally invasive techniques in children, in general, has historically lagged behind those in adults. This paper reviews the evolution of SILS from its original conception and its application in the field of pediatric surgery.

Single-port laparoscopic surgery is applicable to most gynecologic surgery: a single surgeon’s experience

2011 ◽  
Vol 26 (5) ◽  
pp. 1318-1324 ◽  
Author(s):  
Maria Lee ◽  
Sang Wun Kim ◽  
Eun Ji Nam ◽  
Ga Won Yim ◽  
Sunghoon Kim ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Single Port ◽  
Gynecologic Surgery

Anesthetic Implications of Natural Orifice Translumenal Endoscopic Surgery (NOTES) and Single-Incision Laparoscopic Surgery (SILS)

2018 ◽  
Author(s):  
Mark A. Gromski ◽  
Kai Matthes
Keyword(s):  
Laparoscopic Surgery ◽  
Minimally Invasive ◽  
Endoscopic Surgery ◽  
Single Incision ◽  
Single Incision Laparoscopic Surgery ◽  
Natural Orifice ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Current State ◽  
Field Notes

This chapter introduces the concepts of natural orifice transluminal endoscopic surgery (NOTES) and single-incision laparoscopic surgery (SILS). The field of NOTES has evolved over the past decade, and this developmental framework is also outlined to help better understand the current state of the field. NOTES describes a minimally invasive approach to surgical diseases in which instruments are passed transluminally to achieve access to the desired body. SILS is a minimally invasive approach carried out as an extension of traditional laparoscopic surgery. The anesthetic implications of NOTES and SILS are explained, including potential complications that are unique to each. Finally, future directions in developmental endoscopy are discussed to give a sense of what types of procedures may become available or commonplace in the coming decade.

Single-Incision Transumbilical Laparoscopic Splenic Cyst Unroofing: First Reported Case

2010 ◽  
Vol 76 (5) ◽  
pp. 509-511
Author(s):  
Alan A. Saber ◽  
Tarek H. El-Ghazaly
Keyword(s):  
Laparoscopic Surgery ◽  
Minimally Invasive ◽  
Single Incision ◽  
Single Point ◽  
Laparoscopic Approach ◽  
Splenic Cyst ◽  
Single Incision Laparoscopic Surgery ◽  
Invasive Approach ◽  
Conventional Laparoscopic Surgery ◽  
Point Of Entry

Single-incision laparoscopic surgery is an emerging minimally invasive approach. When using the single-incision laparoscopic surgery approach, the surgeon operates almost exclusively through a single point of entry, usually the patient's umbilicus. This approach is steadily gaining popularity among minimally invasive surgeons, as it combines the cosmetic advantage of Natural Orifice Translumenal Surgery with the technical familiarity of conventional laparoscopic surgery. In this report, we describe our implementation of the single-incision laparoscopic approach to perform an unroofing of a posttraumatic splenic cyst; in this case, the entire procedure is performed through a 2-cm intraumbilical incision.

scholarly journals Application of Iconport single incision sealing device in laparoscopic surgery.(Experience in 125 cases of appendectomy)

2019 ◽  
Author(s):  
Xiaojun Wang ◽  
Haibo Jin ◽  
YongFeng Shuai ◽  
YiZhong Zhang
Keyword(s):  
Laparoscopic Surgery ◽  
Laparoscopic Appendectomy ◽  
Single Incision ◽  
Single Port ◽  
Operation Time ◽  
Single Incision Laparoscopic Surgery ◽  
Clinical Value ◽  
Peritoneal Effusion ◽  
Port Device ◽  
Sealing Device

Abstract Background To discuss the reliability and clinical value of Iconport, a Self-made single port device, which was applied for transumbilical single port laparoscopic appendectomy. Methods The incision was around 2.5 cm long with curved form around umbilicus. And the skin and each layer of the abdominal wall were cut in sequence. Then the silica gel sleeve of the self-made single-incision sealing device was folded, clamped by the forceps, and carefully inserted into the incision for sealing. The operation of laparoscopic appendectomy was accomplished by-use routine linetype laparoscopic instruments via Iconport. The specimen was discharged from peritoneal cavity through the single port device. Two layers of incision, linea alba abdominus and skin, were separately sutured by absorbable thread and each layer was sutured successively. Results Among the 125 patients, 119 were successfully performed single-port laparoscopic appendectomy, with the operation time ranging from 30 to 110 min (69.34±21.4 min on average). In 6 cases, auxiliary operating hole was added or laparotomy was performed. Total hospital stay was 5.0±1.8 (2-14) days. 5 cases of incision infection. All patients were followed up for 1 to 6 months after surgery, with an average of 3 months. There were no complications such as bleeding, intestinal leakage, intestinal obstruction, and residual peritoneal effusion. Conclusion In single-incision laparoscopic surgery, the u-shaped incision around the umbilical margin of 2.5cm for adult can not only meet the requirements of flexibility of instruments in the operation, but also meet the aesthetic requirements because the incision scar is hidden in the umbilical foramen or looks like the umbilical foramen after the operation. Iconport single-hole device, which has potential promotion value, can be used in relatively simple laparoscopic surgery alone or combined with a single puncture device for relatively complex laparoscopic surgery.

scholarly journals IMPLEMENTATION OF GYN ROBOTIC SURGERY IN OUR PRACTICE

2020 ◽  
Vol 62 (2) ◽  
Author(s):  
Antony Brignoni ◽  
◽  
Oksana Mudra ◽  
Keyword(s):  
Laparoscopic Surgery ◽  
Robotic Surgery ◽  
Length Of Stay ◽  
Minimally Invasive ◽  
High Precision ◽  
Gynecologic Surgery ◽  
Robotic Technology ◽  
High Definition ◽  
Robotic Assisted ◽  
Conventional Laparoscopic

Middle East has launched its first comprehensive robotic surgery programme, Known as one of the most sophisticated laparoscopic surgical technologies available, the device – created by Intuitive – is part of the new programme aimed at enhancing the group’s “current comprehensive general surgery and laparoscopic surgery services”. American Hospital was selected as the hub for this robotic programme as it is already considered a market leader in advanced laparoscopic surgery. According to the manufacturer, the da Vinci Xi HD 4 works by combining conventional laparoscopic techniques with high precision robotic technology that uses four robotic arms controlled by the surgeon from a console. Through the console, the surgeon is also able to access a 3D high-definition view of the surgical area. Robotic surgery is a state of the art surgical procedure in which the conventional laparoscopic technique is combined with high precision robotic technology. Articulated instruments allow the same movement capacity as the human wrist and the tremor filter eliminates any small uncontrollable movement in the surgeon's hands. We would like to share our experience in implementation of Robotic Assisted surgery in gynecological practice of out hospital. Commencement of our program coincided with very difficult period for all World. Regardless COVID pandemic, we started successfully our robo- surgical journey, and within 6 months we performed 150 Robotic assisted surgeries, 50 of them- gynecological. Gynecologic surgery has been transformed in the last three decades in the western world, from mostly open abdominal surgeries with increased length of stay and morbidity to today with minimally invasive surgeries with short length of stay, decreased morbidity, faster return to normal activities and work. Long past the days of doing laparoscopic surgery with direct viewing through a scope, later poor quality imaging monitors to our current High definition 2D and 3D imaging. In the last decade the introduction of Robotics to our surgical armamentarium has steadily increase the likelihood that patients will have minimally invasive procedure instead of an open laparotomy.

scholarly journals Robotic-assisted single-incision gastric mobilization for minimally invasive oesophagectomy for oesophageal cancer: preliminary results

2020 ◽  
Vol 58 (Supplement_1) ◽  
pp. i65-i69
Author(s):  
Yu-Han Huang ◽  
Ke-Cheng Chen ◽  
Sian-Han Lin ◽  
Pei-Ming Huang ◽  
Pei-Wen Yang ◽  
...  
Keyword(s):  
Lymph Node ◽  
Minimally Invasive ◽  
Lymph Node Dissection ◽  
Oesophageal Cancer ◽  
Single Incision ◽  
Single Port ◽  
Node Dissection ◽  
Abdominal Lymph Node ◽  
Robotic Assisted ◽  
Minimally Invasive Oesophagectomy

Abstract OBJECTIVES With the gradual acceptance of robotic-assisted surgery to treat oesophageal cancer and the application of a single-port approach in several abdominal procedures, we adopted a single-port technique in robotic-assisted minimally invasive oesophagectomy during the abdominal phase for gastric mobilization and abdominal lymph node dissection. METHODS Robotic-assisted oesophagectomy and mediastinal lymph node dissection in the chest were followed by robotic-assisted gastric mobilization and conduit creation with abdominal lymph node dissection, which were performed via a periumbilicus single incision. The oesophagogastrostomy was accomplished either in the chest (Ivor Lewis procedure) or neck (McKeown procedure) depending on the status of the proximal resection margin. RESULTS The procedure was successfully performed on 11 patients with oesophageal cancer from January 2017 to December 2018 in our institute. No surgical or in-hospital deaths occurred, though we had one case each of anastomotic leakage, pneumonia and hiatal hernia (9%). CONCLUSIONS Robotic single-incision gastric mobilization for minimally invasive oesophagectomy for treating oesophageal cancer seems feasible. Its value in terms of perioperative outcome and long-term survival results awaits future evaluation.

scholarly journals Single-incision videolaparoscopic appendectomy with conventional videolaparoscopy equipment

2014 ◽  
Vol 27 (1) ◽  
pp. 34-37 ◽  
Author(s):  
Rodrigo Nascimento PINHEIRO ◽  
Renato Costa SOUSA ◽  
Fernanda Mesquita de Brito CASTRO ◽  
Roberta Oliveira de ALMEIDA ◽  
Gustavo de Castro GOUVEIA ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Acute Appendicitis ◽  
Minimally Invasive ◽  
Single Incision ◽  
Care Center ◽  
Iliac Fossa ◽  
Invasive Technique ◽  
Diffuse Peritonitis ◽  
Single Incision Laparoscopic Surgery ◽  
Intravenous Contrast

Background : Acute appendicitis is the most common surgical emergency in daily practice, and is approached laparoscopically in many centers. Efforts have been undertaken for the development of minimally invasive techniques that reduce tissue trauma and offer improved cosmetic results, one of such being the single-incision laparoscopic surgery (SILS). Aim : To present a minimally invasive technique for appendectomy (SILS) undertaken with conventional instruments. Method : Eleven patients were treated in the emergency care center presenting abdominal pain in the right iliac fossa that was suggestive of appendicitis. Diagnostic investigation was subsequently conducted, including physical examination, laboratory and imaging exams (CT scan with intravenous contrast or total abdominal ultrasound), and the results were consistent with acute appendicitis. Thus, after consent, these patients underwent SILS appendectomy under general anesthesia with three trocars (two 10 mm and one 5 mm), using conventional and optical laparoscopic tweezers (10 mm, 30º). The base and pedicle of the appendix were ligated with titanium LT 400 clips. The procedure occurred uneventfully. Inclusion criteria were absence of diffuse peritonitis, BMI (body mass index) less than 35 and absence of serious comorbidities or sepsis. Results : Seven men and four women were operated with average age of 25.7 years and underwent appendectomy through this technique. Mean procedure duration was of 37.2 min. Regarding surgical findings, three had appendicitis in stage 1, four in stage 2 and four in stage 3. All patients improved well, without surgical complications, and did not require conversion to open surgery or conventional laparoscopy technique. Conclusion : Appendectomy conducted through Single Incision Laparoscopic Surgery is a feasible and promising technique that can be performed with conventional laparoscopic instruments.

351 SINGLE-PORT MINIMALLY INVASIVE ESOPHAGECTOMY TO TREAT ESOPHAGEAL CANCER: EXPERIENCE OF 144 CASES

2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Jang-Ming Lee ◽  
Chen Ke-Cheng ◽  
Lin Mong-Wei ◽  
Yang Pei-Wen ◽  
Huang Pei-Ming
Keyword(s):  
Esophageal Cancer ◽  
Minimally Invasive ◽  
Single Incision ◽  
Single Port ◽  
Minimally Invasive Esophagectomy ◽  
Pulmonary Complications ◽  
Term Survival ◽  
Invasive Esophagectomy ◽  
Laparoscopic Procedures ◽  
The Mean

Abstract   Single-incision thoracoscopic and laparoscopic procedures has have been applied in treating various diseases. However, it is limited in literature for such procedures used in treating esophageal cancer. Methods Minimally invasive esophagectomy (MIE) with a single-incision approach in the thoracoscopic and laparoscopic procedures was attempted in 144 patients with esophageal cancer. Results There was 96 patients underwent a McKeown procedure and 48 an Ivor Lewis procedure repectively. The mean ventilator usage of the patients after surgery was 0.3 ± 0.6 days, the mean ICU stay was 7.42 ± 17.15 days, and the mean number of dissected lymph nodes was 43.5 ± 21.8. There 11 patients suffered from postoperative complications, including 3 pulmonary complications, 4 anastomotic leakage and 4 vocal cord palsy. There are no 30-day mortality, however, there were one patient died from ARDS 40 days after surgery. Conclusion Single-port MIE seems to be a feasible option for treating patients with esophageal cancer, which offers an acceptable perioperative surgical outcome. However, the long-term survival results of the patients requires to be follow-up in the future.

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