Single site laparoscopic surgery: An intermediate step toward no (visible) scar surgery or the next gold standard in minimally invasive surgery?

Abstract Background The purpose of this study was to investigate the clinical effect of minimally invasive surgery for inguinal cryptorchidism. Methods The patients were divided into the minimally invasive surgery group (n = 100) and the traditional surgery group (n = 58). In the minimally invasive surgery group, patients with low inguinal cryptorchidism (n = 54) underwent surgery with a transscrotal incision, and patients with high inguinal cryptorchidism (n = 46) underwent laparoscopic surgery. Results There was no difference in the hospital stay duration or cost between the minimally invasive surgery group and the traditional surgery group (P > 0.05). As for the operative time, minimally invasive surgery of low inguinal cryptorchidism was shorter than traditional surgery (P = 0.033), while minimally invasive surgery of high inguinal cryptorchidism was comparable to traditional surgery (P = 0.658). Additionally, there were no cases of testicular atrophy, testicular retraction, inguinal hernia or hydrocele in either group. There was no significant difference in the incidence of poor wound healing between the two groups (P > 0.05). Although there was no significant difference in the incidence of scrotal hematoma between the two groups (P > 0.05), the incidence in the minimally invasive surgery group was higher than that in the traditional surgery group. Conclusions Minimally invasive surgery including a transscrotal incision for low inguinal cryptorchidism and laparoscopic surgery for high inguinal cryptorchidism is as safe and effective as traditional surgery, and could also provide a good cosmetic effect for children.

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A review of single site minimally invasive surgery in infants and children

Pediatric Surgery International ◽

10.1007/s00383-010-2581-x ◽

2010 ◽

Vol 26 (5) ◽

pp. 451-456 ◽

Cited By ~ 34

Author(s):

Carissa L. Garey ◽

Carrie A. Laituri ◽

Daniel J. Ostlie ◽

Shawn D. St. Peter

Keyword(s):

Minimally Invasive Surgery ◽

Minimally Invasive ◽

Invasive Surgery ◽

Infants And Children ◽

Single Site ◽

In Infants And Children

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Minimally invasive surgery during the COVID-19 pandemic. The approach to laparoscopic surgery in endometriosis and oncology

Obstetrica şi Ginecologia ◽

10.26416/obsgin.68.3.2020.4008 ◽

2020 ◽

Vol 3 (68) ◽

pp. 116

Author(s):

Cătălin Bogdan Coroleucă ◽

Manu Andrei ◽

Alexandra Bauşic ◽

Ana-Maria Rădulescu ◽

Ciprian Andrei Coroleucă ◽

...

Keyword(s):

Minimally Invasive Surgery ◽

Laparoscopic Surgery ◽

Minimally Invasive ◽

Invasive Surgery

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Minimally Invasive Surgery: Equipment and Troubleshooting

10.2310/anes.2198 ◽

2019 ◽

Author(s):

Jacob A. Greenberg ◽

Laura E. Fischer

Keyword(s):

Minimally Invasive Surgery ◽

Minimally Invasive ◽

Invasive Surgery ◽

Surgical Instruments ◽

Single Site ◽

Processing Unit ◽

Solid Organ ◽

Video Monitor ◽

Energy Devices ◽

Basic Set

The field of minimally invasive surgery has evolved rapidly since the first laparoscopic appendectomies and cholecystectomies were performed nearly 30 years ago.1 Minimally invasive approaches are now widely used for gastrointestinal resection, hernia repair, antireflux surgery, bariatric surgery, and solid-organ surgery, such as hepatic, pancreatic, adrenal, and renal resections. Although the techniques and equipment needed to access, expose, and dissect vary according to the type of operation and surgeon’s preference, a basic set of equipment is essential for any laparoscopic or robotic procedure: endoscope, camera, light source, signal processing unit, video monitor, insufflator and gas supply, trocars, and surgical instruments. Understanding how to use and troubleshoot this equipment is critical for any surgeon who performs minimally invasive surgery. We review the essentials of basic laparoscopic equipment, including the mechanics of normally functioning equipment and the various types of laparoscopic trocars and instruments. We also discuss robotic equipment and the fundamental differences from laparoscopy. Minilaparoscopy and single-site equipment are briefly explained. Additionally, we discuss potential technical difficulties that surgeons may encounter while performing minimally invasive procedures and provide suggestions for troubleshooting these problems. This review 13 figure, 2 tables, and 64 references.Key Words: Laparoscopy, Robotic Surgery, Minimally Invasive Surgery, Laparoscopic Surgery, Trocars, Surgical Energy Devices, Insufflator, Laparoscopic Instrumentation, Ergonomics, Single Site Surgery

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A minimally invasive pericoccygeal approach to resection of a large presacral schwannoma: case report

Journal of Neurosurgery Spine ◽

10.3171/2014.11.spine14396 ◽

2015 ◽

Vol 23 (1) ◽

pp. 81-85 ◽

Cited By ~ 5

Author(s):

Osa Emohare ◽

Molly Stapleton ◽

Alejandro Mendez

Keyword(s):

Minimally Invasive Surgery ◽

Case Report ◽

Laparoscopic Surgery ◽

Minimally Invasive ◽

Invasive Surgery ◽

Posterior Approach ◽

Laparoscopic Resection ◽

Morbidly Obese ◽

Significant Morbidity ◽

Sacral Resection

Resection of large presacral schwannomas can present a challenge. The posterior approach is commonly associated with coccygeal disarticulation, partial sacral resection, and muscular disarticulation, which can all result in significant morbidity. Minimally invasive surgery may obviate some of the morbidity traditionally associated with this approach. The authors present the case of a morbidly obese 49-year-old man with an enlarging presacral schwannoma. The patient refused laparoscopic resection because of the morbidity he had experienced with a previous laparoscopic surgery. The tumor was resected using a minimally invasive paracoccygeal approach, which affords improved access with minimal morbidity.

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MINIMALLY INVASIVE TECHNOLOGIES IN THE TREATMENT OF THYROID DISEASES. REVIEW

Surgical Practice ◽

10.38181/2223-2427-2021-2-32-38 ◽

2021 ◽

pp. 32-38

Author(s):

P. S. Glushkov ◽

R. K. Azimov ◽

K. A. Shemyatovsky ◽

V. A. Gorsky

Keyword(s):

Minimally Invasive Surgery ◽

Thyroid Gland ◽

Surgical Technique ◽

Literature Review ◽

Minimally Invasive ◽

21St Century ◽

Invasive Surgery ◽

Anterior Surface ◽

Visible Scar ◽

Cosmetic Effect

The Kocher approach, which has already become traditional for many decades, in operations on the thyroid gland (TG) in the 21st century has ceased to meet the standards of minimally invasive surgery. Providing an excellent view of the organ and the convenience of an operative reception, a 4-5 cm incision on the anterior surface of the neck leaves behind a visible scar, which is a cosmetic defect. The development of technologies made it possible to develop and optimize access to the thyroid gland, which have the best cosmetic effect, but also require changes in the surgical technique. This literature review provides a description and analysis of the existing minimally invasive approaches to the thyroid gland.

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Clinical effect of minimally invasive surgery for inguinal cryptorchidism

10.21203/rs.3.rs-31371/v3 ◽

2020 ◽

Author(s):

Yunjin Wang ◽

Liu Chen ◽

Xu Cui ◽

Chaoming Zhou ◽

Qing Zhou ◽

...

Keyword(s):

Minimally Invasive Surgery ◽

Laparoscopic Surgery ◽

Minimally Invasive ◽

Invasive Surgery ◽

Clinical Effect ◽

Testicular Atrophy ◽

Surgery Group ◽

Significant Difference ◽

Good Cosmetic ◽

Scrotal Hematoma

Abstract Background: The purpose of this study was to investigate the clinical effect of minimally invasive surgery for inguinal cryptorchidism.Methods: The patients were divided into the minimally invasive surgery group (n=100) and the traditional surgery group (n=58). In the minimally invasive surgery group, patients with low inguinal cryptorchidism (n=54) underwent surgery with a transscrotal incision, and patients with high inguinal cryptorchidism (n=46) underwent laparoscopic surgery. Results: There was no difference in the hospital stay duration or cost between the minimally invasive surgery group and the traditional surgery group (P>0.05). As for the operative time, minimally invasive surgery of low inguinal cryptorchidism was shorter than traditional surgery (P=0.033), while minimally invasive surgery of high inguinal cryptorchidism was comparable to traditional surgery (P=0.658). Additionally, there were no cases of testicular atrophy, testicular retraction, inguinal hernia or hydrocele in either group. There was no significant difference in the incidence of poor wound healing between the two groups (P>0.05). Although there was no significant difference in the incidence of scrotal hematoma between the two groups (P>0.05), the incidence in the minimally invasive surgery group was higher than that in the traditional surgery group. Conclusions: Minimally invasive surgery including a transscrotal incision for low inguinal cryptorchidism and laparoscopic surgery for high inguinal cryptorchidism is as safe and effective as traditional surgery, and could also provide a good cosmetic effect for children.

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Robotic Laparoscopic Single-Site Surgery

10.5772/intechopen.96226 ◽

2021 ◽

Author(s):

Rene I. Luna

Keyword(s):

Minimally Invasive Surgery ◽

Robotic Surgery ◽

Minimally Invasive ◽

Invasive Surgery ◽

Minimally Invasive Surgical Procedures ◽

Single Site ◽

Proper Understanding ◽

Minimally Invasive Surgical ◽

Set Up ◽

Single Site Surgery

Minimally invasive surgery has changed the landscape of women’s surgical healthcare. Conventional and robotic laparoscopy are the preferred approach for many major minimally invasive gynecological procedures. However, the philosophy of minimally invasive surgery has been pushed to reduce the size and minimize the number of ports placed. Many conventional minimally invasive surgical procedures use 3–5 ports through multiple small incisions. Laparoscopic single site surgery tries to perform on that philosophy but has its limitations. Enters robotic surgery already a major force in minimally invasive surgery and now sets to remove the limitations of single site surgery. However it requires proper understanding of the instruments and the techniques for successful robotic single site surgery. It starts with patient selection. Knowing the instruments needed and the proper set up of those instruments. Then knowing how to use the instruments in operating and suturing and closing. And finish with special considerations.

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College and ALSGBI pioneer laparoscopic surgery courses

Bulletin of The Royal College of Surgeons of England ◽

10.1308/147363508x273506 ◽

2008 ◽

Vol 90 (2) ◽

pp. 48-49

Author(s):

Mark Coleman

Keyword(s):

Laparoscopic Cholecystectomy ◽

Minimally Invasive Surgery ◽

Laparoscopic Surgery ◽

Minimally Invasive ◽

Invasive Surgery ◽

Royal College ◽

Open Surgery ◽

Active Role ◽

Surgical Skills ◽

Previously Treated

Over the last two decades, minimally invasive surgery (MIS) has become the mainstream method for the treatment of many abdominal diseases previously treated by open surgery. It has resulted in improvements in many outcomes during and after surgery. The Royal College of Surgeons of England has always played an active role in training both consultant surgeons and trainees in minimally invasive surgery with courses such as the Intercollegiate Basic Surgical Skills Courses (BSS) and laparoscopic cholecystectomy courses run in the College itself and in regional units. Laparoscopic surgery itself presents unique challenges that demand that courses be designed specifically with these in mind.

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Development of Robotic Forceps for Laparoscopic Surgery

Journal of Robotics and Mechatronics ◽

10.20965/jrm.2006.p0249 ◽

2006 ◽

Vol 18 (3) ◽

pp. 249-256 ◽

Cited By ~ 13

Author(s):

Makoto Jinno ◽

◽

Takamitsu Sunaoshi ◽

Toyomi Miyagawa ◽

Takehiro Hato ◽

...

Keyword(s):

Minimally Invasive Surgery ◽

Laparoscopic Surgery ◽

Minimally Invasive ◽

Invasive Surgery ◽

Support Function ◽

Postoperative Recovery ◽

Operating Conditions ◽

Surgical Skill

Minimally invasive surgery accelerates postoperative recovery, but can only be applied by surgeons having advanced conduct skills. We developed a master-slave manipulator, i.e., robotic forceps for laparoscopic surgery that enhances surgical skill. Robotic forceps consists of a master-slave manipulator, a support component, a controller, an operating conditions display, and a foot switch for changing operating conditions. This paper details specifications and components of robotic forceps and evaluates conductance, such as measurement of the slave hand’s grip and suturing and ligaturing, conducted on a sponge stomach model. A comparison of support function in experiments demonstrates their effectiveness.

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