scholarly journals Triple Umbilical Incision for Videlaparoscopic Cholecystectomy

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Héctor Rolando Herrera Cabral
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Laparoscopic Surgery ◽  
Single Incision ◽  
Single Port ◽  
Cystic Artery ◽  
Advanced Training ◽  
Surgical Time ◽  
Umbilical Incision ◽  
Intraabdominal Bleeding ◽  
Initial Results

Introduction: The laparoscopic surgery is done by using a single port. You place a device through a single incision between 18mm to 50mm and 3-4 trocars can be used. Our work consists of making 3 little incisions to put the three trocars which measure 5 mm and use conventional instruments that measure 36 cm of length of laparoscopic surgery within the internal limits of the umbilicus. Objective: Describe the surgery technique and evaluate the initial results of a laparoscopic cholecystectomy option through three intraumbilical incisions. Methods: It is a retrospective, descriptive, multicentre and observational study. Since June 2014 to August 2019, 20 patients, 17 females and 3 males, were operated using this method from the age ranges of 16 to 65 years old. The average surgical time was 65 minutes. Results: In all cases the procedures were concluded by the intraumbilical approach. One of the cases had to be re-operated due to intraabdominal bleeding from the posterior branch of the cystic artery. Conclusions: The technique is reproducible; the usual triangulation of the ports is not available. Therefore, fort this technique the surgeon needs to have experience and have had advanced training in laparoscopic surgery. The cases must be selective.

scholarly journals 40 cases of Single-incision laparoscopic surgery to totally extraperitoneal herniorrhaphy via umbilical incision under posterior rectus abdominis sheath

2019 ◽  
Author(s):  
Xiaojun Wang ◽  
Yizhong Zhang ◽  
Changlei Qi ◽  
Encheng Zhou ◽  
Haiqiang Zhang ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Operative Time ◽  
Single Incision ◽  
Single Port ◽  
Rectus Abdominis ◽  
Preperitoneal Space ◽  
Single Incision Laparoscopic Surgery ◽  
Umbilical Incision ◽  
Totally Extraperitoneal ◽  
Port Device

Abstract Background Since 2008, the first case of Single-incision laparoscopic surgery totally extraperitoneal (SILS-TEP) was reported, there was more than 10 years history on SILS-TEP. Because of difficult to operation, SILS-TEP is popularized slowly. This study investigate the safety and feasibility of SILS-TEP under posterior rectus abdominis sheath. Methods A single 2.5cm long cured incision was made along the lower umbilical border. A 5.0cm size preperitoneal space was created by electrotome or blunt dissection under the posterior sheath and the linea alba. The silica gel sealing sleeve of Iconport single port device was crammthed under the posterior rectus abdominis sheath, then the preperitoneal space was broadened toward lower abdomen in condition of CO2 gas inflation. Conventional laparoscopic instruments were used to complete the operation according to the operation procedure of laparoscopic total extraperitoneal herniorrhaphy. Results SILS-TEP hernia repair was successfully completed in 39 patients. One need an additional ports to complete totally extraperitoneal hernioplasty. Mean operative time was 73.8 minutes (range, 45 to 130 minutes) and 55.2 minutes (range, 34 to 95 minutes) in unilateral indirect hernia and in unilateral direct or femoral hernia, respectively . Mean operative time was 92.3 minutes (range, 65 to 150 minutes) in bilateral hernia. 3 seroma and 5 chronic pain were seen during the 1-6 months follow-up periods, all were treated conservatively. No other major complications. Mean post-operative hospital stay was 2.6 days. Conclusion The operation of SILS-TEP via umbilical incision under posterior rectus abdominis sheath is safe and feasible. The Iconport single-port device has potential advantages in SILS-TEP surgery. Trial registration: The study was registered with the Chinese Clinical Trial Registry (ChiCTR)(www.chictr.org.cn).Registration number:ChiCTR1900023056. Registration date: May 9, 2019.Retrospectively registered.

SINGLE PORT LAPAROSCOPIC CHOLECYSTECTOMY IN HUE CENTRAL HOSPITAL

2012 ◽  
pp. 25-30
Author(s):  
Xuan Dong Pham ◽  
Nhu Hiep Pham ◽  
Huu Thien Ho ◽  
Anh Vu Pham ◽  
Hai Thanh Nguyen ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Single Port ◽  
Operating Time ◽  
Chronic Cholecystitis ◽  
Central Hospital ◽  
Gallbladder Polyp ◽  
Gallbladder Polyps ◽  
Hospital Patients ◽  
Wound Pain ◽  
Initial Results

Purpose: Evaluating the initial results in applying single port laparoscopic cholecystectomy at Hue Central Hospital. Patients and methods: 29 gallbladder polyps, gallstones with symptoms of acute or chronic cholecystitis and surgeried by single port laparoscopic cholecystectomy at Hue Central Hospital from March 2011 to December 2011. Results: Male/female was 0.45/1. Age: 49.24 ± 16.43 (21-81), 40 to 60 years 54.6%. Cholecystitis: 75.9%, 17.3% gallbladder polyp, gallbladder adenomyomatosis 3.4%. Added 1 trocart because difficult dissection surgery 10.2%, bleeding 6.8% difficult to handle, added 2 trocart 3.4%. Bleeding intraoperative 10.3%. Operating time: 76.2 ± 33.5 minutes, hospital stay: 4 - 6 days 51.7%. Wound pain after 2 weeks of hospital discharge 6.9%, with no wound seromas and no wound infection. Conclusions: Single port laparoscopic cholecystestomy is safe, has fewer complications, can be done with experienced surgeons laparoscopic surgery. Keywords: Single port laparoscopic cholecystectomy, gallbladder ston Key words: Single port laparoscopic cholecystectomy, gallbladder stone

scholarly journals Single Incision Laparoscopic Cholecystectomy by Using a 2 mm Atraumatic Grasper without Trocar

HPB Surgery ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Kamil Gulpinar ◽  
Suleyman Ozdemir ◽  
S. Erpulat Ozis ◽  
Turgut Aydin ◽  
Atila Korkmaz
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Postoperative Complications ◽  
Abdominal Wall ◽  
Single Incision ◽  
Single Port ◽  
Operation Time ◽  
Scar Formation ◽  
Single Incision Laparoscopic Cholecystectomy ◽  
Skin Scar

Purpose. We present our experience in single incision laparoscopic cholecystectomy by using a grasper directly without using a trocar in five patients. Methods and Results. The technique involves the use of Karl Storz 27290F grasper in order to perform gallbladder retraction in single port cholecystectomy. The grasper was introduced directly into the skin through abdominal wall without using any trocar and used to mobilize gallbladder whenever needed during surgery without causing any perforation or leakage of the gallbladder. There were no intraoperative and postoperative complications in 5 patients with the advantages of shorter operation time and almost invisible postoperative skin scar formation. Conclusion. We claim that the use of this instrument in SILS surgery might be advantageous than the conventional placement of sutures for the gallbladder mobilization.

scholarly journals Single Incision Laparoscopic Cholecystectomy vs Conventional Cholecystectomy in Developing Country

2010 ◽  
Vol 49 (179) ◽  
Author(s):  
P B Thapa ◽  
DK Maharjan ◽  
DR Singh
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Laparoscopic Surgery ◽  
Single Incision ◽  
Single Incision Laparoscopic Surgery ◽  
Conventional Laparoscopic Cholecystectomy ◽  
Conventional Laparoscopic ◽  
Level Of Satisfaction ◽  
Single Incision Surgery ◽  
Significant Difference ◽  
Single Incision Laparoscopic Cholecystectomy

INTRODUCTION: Use of laparoscopic surgery has demanded principles of less trauma of access hence less scar and so probably less complications. Hence conventional laparoscopic surgeries were tried with natural orifice transluminal surgery (NOTES) and then single incision laparoscopic surgery (SILS). With refinement in instruments and surgeons skills SILS have bridged up between conventional and NOTES in order to quench the desire of less or no scar at all. METHODS: Comparative case control study between conventional laparoscopic cholecystectomy and SILS in public teaching hospital. RESULTS: Total 20 patients underwent SILS cholecystectomy and 20 underwent conventional cholecystectomy and found that no difference between both in terms of post operative pain score, hospital stay and post operative wound infection except significant difference in mean operative time and patient's level of satisfaction was less in patient with SILC if were subjected to pay for instruments in order to maintain cosmesis. CONCLUSIONS: Though SILS have gained rapid acceptance in surgical fraternity, large number of randomized controlled trials are necessary to show its benefit over conventional laparoscopic cholecystectomy. Keywords: cholecystectomy, conventional, laparoscopy, single incision, surgery

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 Initial Results of Single-Incision Laparoscopic Surgery for Pediatric Inguinal Hernia in Our Hospital

2020 ◽  
Vol 53 (10) ◽  
pp. 768-775
Author(s):  
Asayo Saito ◽  
Satoshi Makita ◽  
Takeshi Amamiya ◽  
Norihisa Uemura ◽  
Takashi Seki ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Laparoscopic Surgery ◽  
Single Incision ◽  
Single Incision Laparoscopic Surgery ◽  
Pediatric Inguinal Hernia ◽  
Initial Results

Single-incision laparoscopic transabdominal preperitoneal (sil-tapp) mesh in the treatment of inguinal hernia in patients over 40 years old

2018 ◽  
Vol 8 (3) ◽  
Author(s):  
Keyword(s):  
Inguinal Hernia ◽  
Prospective Study ◽  
Single Incision ◽  
Single Port ◽  
Early Complication ◽  
Surgical Time ◽  
Transabdominal Preperitoneal ◽  
Mesh Surgery ◽  
Over 40 Years

Tóm tắt Đặt vấn đề: Nghiên cứu về phương pháp phẫu thuật nội soi (PTNS) một lỗ qua ổ bụng đặt mảnh ghép (MG) ngoài phúc mạc (PM) điều trị thoát vị bẹn (TVB) ở người bệnh (NB) từ 40 tuổi trở lên. Phương pháp nghiên cứu: Kết quả PTNS một lỗ qua ổ bụng đặt MG ngoài PM điều trị NB TVB từ 40 tuổi trở lên bằng dụng cụ thông thường. Đối tượng và phương pháp nghiên cứu: Hồi cứu kết hợp tiến cứu, theo dõi dọc63 NB TVB nam giới từ 40 tuổi trở lên được điều trị bằng phương pháp trên. Kết quả: Tuổi 62,03±10,06, thời gian mổ 44,29±16,48 phút, biến chứng sớm11,1%, tái phát 1,6%. Kết luận: PTNS một lỗ qua ổ bụng đặt MG ngoài PM điều trị TVB ở NB từ 40 tuổi trở lên bằng dụng cụ thông thường đem lại kết quả tốt và tỷ lệ tái phát thấp. Abstract Introduction: Study of single incision laparoscopic transabdominal extraperitoneal mesh surgery to treat inguinal hernia in patients over 40 years old. Aim of this study is to evaluated the results ofsingle incision laparoscopic transabdominal extraperitoneal mesh surgery to treat inguinal hernia in patients over 40 years old with normal equipments. Material and Methods: Retrospective and prospective study, verticalsurvey63 malepatients over 40 years old with inguinal hernia were treated by the single incision laparoscopic transabdominal extraperitoneal mesh surgery. Results: Mean age 62,03±10,06, average of surgical time 44,29±16,48 minutes, early complication 11,1%, recurrence 1,6%. Conclusion: Single incision laparoscopic transabdominal extraperitoneal mesh surgery to treat inguinal hernia in patients over 40 years old with normal equipments achieved good outcomes and low recurrence. Keyword: Single-port, preperitoneal, inguinal hernia.

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