scholarly journals Single-Port Laparoscopic Cholecystectomy Using the Innovative E. K. Glove Port: Our Experience

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Elbert Khiangte ◽  
Iheule Newme ◽  
Karabi Patowary ◽  
Hitesh Kalita
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Developing Country ◽  
Single Port ◽  
Operating Time ◽  
Biliary Colic ◽  
Conventional Laparoscopic ◽  
Access System ◽  
Single Port Surgery ◽  
Port Access ◽  
Glove Port

The technique of laparoscopic cholecystectomy continues to evolve with a trend towards decreasing use of working ports. One of the emerging concepts of 21st century is single-port surgery. It has further minimized the minimally invasive surgery. However, the main drawbacks of this technique are the lack of “triangulation” to which the laparoscopic surgeons have grown accustomed to, the clustering of instruments, and the costly multichannel ports, which are very costly and, in fact, are not affordable by the majority of the population in a developing country like India. From September 2009 to December 2011, 210 patients identified as having biliary colic, chronic cholecystitis, and previous biliary pancreatitis or obstructive jaundice due to stones (managed by ERCP) underwent single-port laparoscopic cholecystectomy using the E. K. glove port. The operating time was reasonable and can be lessened with experience. Excellent exposure of the critical view was obtained in all cases. This technique is safe, feasible, reproducible, cheap, and easy to learn. It may be an alternative to the currently available single-port access system, especially in a developing country like India. If required, placement of the remaining two to three ports for a more conventional laparoscopic cholecystectomy can be done.

scholarly journals COMPARISON BETWEEN INCIDENCE OF INCISIONAL HERNIA IN LAPAROSCOPIC CHOLECYSTECTOMY AND BY SINGLE PORT

2018 ◽  
Vol 31 (1) ◽  
Author(s):  
Fernando Athayde MADUREIRA ◽  
Cristiane Luzia Teixeira GOMEZ ◽  
Eduardo Monteiro ALMEIDA
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Incisional Hernia ◽  
Single Port ◽  
Conventional Technique ◽  
Single Port Access ◽  
Conventional Laparoscopic Cholecystectomy ◽  
Incisional Hernias ◽  
Conventional Laparoscopic ◽  
Port Access

ABSTRACT Background: Surgeries with single port access have been gaining ground among surgeons who seek minimally invasive procedures. Although this technique uses only one access, the incision is larger when compared to laparoscopic cholecystectomy and this fact can lead to a higher incidence of incisional hernias. Aim: To compare the incidence of incisional hernia after laparoscopic cholecystectomy and by single port. Methods: A total of 57 patients were randomly divided into two groups and submitted to conventional laparoscopic cholecystectomy (n=29) and laparoscopic cholecystectomy by single access (n=28). The patients were followed up and reviewed in a 40.4 month follow-up for identification of incisional hernias. Results: Follow-up showed 21,4% of incisional hernia in single port group and 3.57% in conventional technique. Conclusions: There was a higher incidence of late incisional hernia in patients submitted to single port access cholecystectomy compared to conventional laparoscopic cholecystectomy.

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 Maneuverability of the Scope and Instruments within Three Different Single-Incision Laparoscopic Ports: An Experimental Pilot Study

Animals ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 1242
Author(s):  
Georg Haider ◽  
Ursula Schulz ◽  
Nikola Katic ◽  
Christian Peham ◽  
Gilles Dupré
Keyword(s):  
Motion Analysis ◽  
Single Incision ◽  
Single Port ◽  
Three Dimensional ◽  
Analysis Software ◽  
Port Access ◽  
Port System ◽  
Sils Port ◽  
Glove Port ◽  
Analysis System

Single-port access systems (SPASs) are currently used in human and veterinary surgeries. However, they pose technical challenges, such as instrument crowding, intra- and extracorporeal instrument collision, and reduced maneuverability. Studies comparing the maneuverability of the scopes and instruments in different SPASs are lacking. This study aimed to compare the maneuverability of three different SPASs: the Covidien SILS-port, Storz Endocone, and glove port. A clear acrylic box with artificial skin placed at the bottom was used to mimic the abdominal wall and cavity. The three SPASs were placed from below, and a 10-mm endoscope and 5-mm instrument were introduced. A motion analysis system consisting of 18 cameras and motion analysis software were used to track the movement of the endoscope and instrument, to determine the volume of the cone-shaped, three-dimensional figures over which movement was possible, with higher values indicating greater maneuverability. The Mann–Whitney U test was used for the analysis. The maneuverability of the endoscope alone was significantly higher in the glove port system than in the other two SPASs. When inserting an additional instrument, the maneuverability significantly decreased in the SILS-port and Endocone, but not in the glove port. The highest maneuverability overall was found in the glove port.

scholarly journals Single Port Access Laparoscopic Cholecystectomy (with video)

2008 ◽  
Vol 33 (5) ◽  
pp. 1015-1019 ◽  
Author(s):  
Pascal Bucher ◽  
François Pugin ◽  
Nicolas Buchs ◽  
Sandrine Ostermann ◽  
Fadi Charara ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Single Port ◽  
Single Port Access ◽  
Port Access

Single port access versus conventional laparoscopic ovarian cystectomy: Comparison of surgical outcomes

2012 ◽  
Vol 55 (5) ◽  
pp. 325
Author(s):  
Yoon Jung Lee ◽  
Myung Joo Kim ◽  
Seok Ju Seong ◽  
In Hyun Kim ◽  
Mi La Kim ◽  
...  
Keyword(s):  
Surgical Outcomes ◽  
Single Port ◽  
Single Port Access ◽  
Ovarian Cystectomy ◽  
Conventional Laparoscopic ◽  
Port Access
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