scholarly journals Single incision laparoscopic surgery (SILS) for Meckel’s diverticulum

2019 ◽  
Vol 2019 (7) ◽  
Author(s):  
Kunitaka Kuramoto ◽  
Osamu Nakahara ◽  
Yuto Maeda ◽  
Sayahito Kumamoto ◽  
Akira Tsuji ◽  
...  
Keyword(s):  
Small Intestine ◽  
Laparoscopic Surgery ◽  
Single Incision ◽  
Meckel’S Diverticulum ◽  
Abdominal Cavity ◽  
Skin Incision ◽  
Meckel's Diverticulum ◽  
Single Incision Laparoscopic Surgery ◽  
Pertinent Literature ◽  
Abnormal Accumulation

Abstract A 65-year-old male patient presented with a chief complaint of abdominal pain. Abdominal computed tomography (CT) showed slight intestinal dilation and obstruction of the upper right quadrant of the small intestine, while ectopic gastric mucosal scintigraphy revealed abnormal accumulation in agreement with the CT-identified structure. The cause of bowel obstruction was diagnosed as Meckel’s diverticulum; the patient was referred for surgery. A small laparotomy was performed with a 35-mm skin incision to the center of the navel. Once a lap disk was attached, a laparoscope was inserted to visualize the abdominal cavity. The small intestine that includes the structure was pulled out from the umbilicus to the outside of the peritoneal cavity and partially resected. On the pathological tissue findings, the patient was diagnosed with Meckel’s diverticulum. We report our experience with single-lap laparoscopic surgery for a case of intestinal obstruction caused by Meckel’s diverticulum and review pertinent literature.

scholarly journals Single-incision Laparoscopic Surgery for Bleeding Meckel’s Diverticulum in Two Patients

2016 ◽  
Vol 41 (4) ◽  
pp. 629-634
Author(s):  
Taro Sugiyama ◽  
Nobuhisa Matsuhashi ◽  
Takao Takahashi ◽  
Kazuya Yamaguchi ◽  
Kazuhiro Yoshida
Keyword(s):  
Laparoscopic Surgery ◽  
Single Incision ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Single Incision Laparoscopic Surgery

scholarly journals Single incision laparoscopic surgery for Meckel's diverticulum in an adult

2014 ◽  
Vol 2014 (may26 1) ◽  
pp. bcr2014204869-bcr2014204869
Author(s):  
S. Rajendran ◽  
S. A. Naqi
Keyword(s):  
Laparoscopic Surgery ◽  
Single Incision ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Single Incision Laparoscopic Surgery

scholarly journals Left Paraduodenal Hernia Treated With Single-Incision Laparoscopic Surgery: Report of a Case

2021 ◽  
Vol 105 (1-3) ◽  
pp. 49-53
Author(s):  
Hideki Osawa ◽  
Junichi Nishimura ◽  
Yoshiyuki Motoki ◽  
Masaaki Miyo ◽  
Yozo Suzuki ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Hernia Repair ◽  
Single Incision ◽  
Abdominal Cavity ◽  
Young Patients ◽  
Abrupt Onset ◽  
Radiographic Examination ◽  
Paraduodenal Hernia ◽  
Single Incision Laparoscopic Surgery ◽  
Minimal Invasion

Paraduodenal hernia is traditionally repaired via conventional laparotomy. Recently, several reports described the repair of paraduodenal hernia via laparoscopic surgery with multiple ports. Due to development of the technique and devices for laparoscopic surgery, single-incision laparoscopic surgery (SILS) has been applied to various operations, including cholecystectomy, appendectomy, and procedures for colorectal cancer. Here, we report treatment of a left paraduodenal hernia via SILS. A 23-year-old man presented with abrupt onset of abdominal pain, nausea, and vomiting. Computed tomography revealed a mass of intestinal loops enveloped by a thin capsule on the left of the abdominal cavity. Blood circulation in the jejunal loops was preserved, and no dilatation of the jejunum was observed. Physical and radiographic examination indicated the possibility of left paraduodenal hernia; we performed paraduodenal hernia repair using SILS. After we confirmed that there was no strangulation or gangrenous change in the bowel on laparoscopic examination, we reduced the incarcerated jejunum loops via an atraumatic method. The postoperative course was uneventful, and the patient was discharged 8 days after the operation. This disease affects relatively young patients, rendering this operation attractive from the viewpoint of cosmetic benefits and minimal invasion. Paraduodenal hernia repair via SILS is feasible, safe, and may constitute an alternative method for paraduodenal hernia without necrotic change.

Resection of stage 0/I colon cancer via a circumferential periumbilical skin incision: relevance to single-incision laparoscopic surgery

2010 ◽  
Vol 14 (4) ◽  
pp. 311-315
Author(s):  
T. Ohsawa ◽  
H. Ishida ◽  
K. Kumamoto ◽  
H. Nakada ◽  
M. Yokoyama ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Laparoscopic Surgery ◽  
Single Incision ◽  
Skin Incision ◽  
Single Incision Laparoscopic Surgery

scholarly journals Single incision laparoscopic surgery (SILSTM) using an umbilical hernial approach for cryptorchidectomy of a degenerated testis in a dog

2019 ◽  
Vol 49 (10) ◽  
Author(s):  
Caio de Faria Tiosso ◽  
Fabiana Azevedo Voorwald ◽  
Maurício Veloso Brun ◽  
Luciana Cristina Padilha Nakaghi ◽  
Roberta Martins Crivelaro ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Abdominal Wall ◽  
Umbilical Hernia ◽  
Single Incision ◽  
Skin Incision ◽  
Single Incision Laparoscopic Surgery ◽  
Internal Organs

ABSTRACT: SILSTM via an umbilical hernia opening was used in the correction of an abdominal cryptorchidism in a dog. The SILSTMport was inserted through a 2.5 cm skin incision on the umbilical hernia and pneumoperitoneum was established with CO2. A 10mm telescope, 5mm laparoscopic Babcock clamp, and a clamp with combined cutting and coagulation features were used for the dissection and removal of the testicle through the SILSTM port. The treatment proved to be effective, easy, and quick to perform. However, the lack of triangulation between clamps and telescope limited the movement of the instruments, making it more laborious than a multiple-trocar approach. It can be concluded that the use of a SILSTM port through a pre-existing opening of the abdominal wall enables a reduction of the risks associated with multiple incisions; such as injury and manipulation of internal organs, pain, bleeding, and development of new hernias.

A Wire-Driven Multifunctional Manipulator for Single Incision Laparoscopic Surgery

2020 ◽  
Author(s):  
A. M. Masum Bulbul Chowdhury ◽  
Michael J. Cullado ◽  
Tao Shen
Keyword(s):  
Laparoscopic Surgery ◽  
Single Incision ◽  
Skin Incision ◽  
Single Incision Laparoscopic Surgery ◽  
Practical Application ◽  
Related Complication ◽  
Surgical Tools ◽  
Chemical Sterilization ◽  
Automatic Tool ◽  
Potential Damage

Abstract Minimally Invasive Surgery (MIS) has gained popularity in current abdominal surgical procedures due to its reduced skin incision length, shortened recovery time and decreased postoperative complications. One trend is to enhance these benefits by developing technologies to expand the application of single incision laparoscopic surgery (SILS) which has even less incision and incision-related complication. However, the practical application of SILS has been constrained by many complexities, including fundamental procedure issues (e. g. limited space), as well as the issues related to surgical tools, such as lack of actuation force, weak tool tips, poor visualization and lack of dexterous multitasking tools. Due to this lack of multitasking tools, the surgical tools or robots have to be retracted, exchanged and reset multiple times during the surgery, increasing the surgical time, the risk of injury and the surgeon’s level of fatigue. This paper focuses on developing a multifunctional manipulator with an automatic tool changing capability to boost practical application of SILS. The manipulator uses a wire-driven method that minimizes the potential damage from sterilization since the electronic actuation and sensing components are located remotely from the end-effector which needs heat or chemical sterilization before surgery. The feasibility of the tool tip changing method has been demonstrated by experiments.

scholarly journals Success of Minimally Invasive Transumbilical Single-Incision Laparoscopic Surgery (T-SILS) Plus Double-Balloon Endoscopy (DBE) for Pediatric Intestinal Angiodysplasia: A Case Report

2015 ◽  
Vol 100 (5) ◽  
pp. 920-923 ◽  
Author(s):  
Koichiro Mori ◽  
Yuhki Koike ◽  
Mikihiro Inoue ◽  
Kohei Ohtake ◽  
Koji Tanaka ◽  
...  
Keyword(s):  
Small Intestine ◽  
Case Report ◽  
Laparoscopic Surgery ◽  
Gastrointestinal Bleeding ◽  
General Anesthesia ◽  
Single Incision ◽  
Ileocecal Valve ◽  
Single Incision Laparoscopic Surgery ◽  
Bleeding Lesion ◽  
Venous Lake

We describe here a child with angiodysplasia of the small intestine, diagnosed by double-balloon endoscopy (DBE), who was treated with transumbilical single-incision laparoscopic surgery (T-SILS). A 9-year-old boy presented to another hospital with intermittent fresh melena of a duration of 5 months and 4 days. Anoscopy and gastric mucosal membrane scintigraphy were unsuccessful diagnostically, and he was referred to our hospital for further examination and treatment. Under general anesthesia, we performed DBE by an anal route, with the ileum assessed for a distance of about 150 cm from the ileocecal valve. Although no bleeding lesion was found in the colon, a flat elevated venous lake approximately 20 mm in size was observed 20 cm from the ileocecal valve, suggesting angiodysplasia of the small intestine. A tattoo was made under DBE, and wedge resection by T-SILS was performed 1 month later under general anesthesia. The excised specimen appeared as a flat, elevated venous lake approximately 20 mm in size. Histopathologic analysis revealed several dilated and distorted veins within the submucosa of the small intestine. The patient was diagnosed with angiodysplasia of the small intestine. His postoperative course was uneventful, and he remained free of recurrent gastrointestinal bleeding 18 months after the operation. This is the first case report showing the diagnosis, localization, and tattooing of an obscure gastrointestinal bleeding lesion of the small intestine by preoperative DBE and removal of the lesion by subsequent T-SILS in children.

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