scholarly journals Single Port Laparoscopic Assisted Hysterectomy

2021 ◽  
Author(s):  
Michael L. Nimaroff ◽  
Eric Crihfield

This chapter describes the necessary steps to perform single port laparoscopic hysterectomy. This surgical approach is an innovative method to offer all of the benefits of multi-port laparoscopy through one single incision usually in and around the umbilicus. Using core surgical principles and instruments available for single port surgery external triangulation and full range of motion can be maintained to achieve the required internal manipulation of instruments and tissue dissection. All single port surgeries require a specialized port used along with an angled or flexible laparoscope for visualization. Traditional laparoscopic instruments may be used for the surgical dissection and completion of the procedure.

2011 ◽  
Vol 11 (4) ◽  
pp. 230 ◽  
Author(s):  
Taeil Son ◽  
Kazuki Inaba ◽  
Yanghee Woo ◽  
Kyung-Ho Pak ◽  
Woo Jin Hyung ◽  
...  

2015 ◽  
Vol 100 (3) ◽  
pp. 408-413 ◽  
Author(s):  
Masami Ueda ◽  
Tadashi Onishi ◽  
Taishi Hata ◽  
Kentaro Nishida ◽  
Takehiro Yanagawa ◽  
...  

A therapeutic guideline for sigmoid volvulus (SV) has not been established, and the most recommended surgical procedure for SV has not been determined. Our objective is to assess the usability of elective laparoscopic sigmoidectomy and the feasibility of single-incision laparoscopic surgery for SV following endoscopic reduction. SV typically affects the elderly and accounts for 1% to 7% of intestinal obstructions in Western countries. We report on 3 patients with SV who underwent elective laparoscopic sigmoidectomy following endoscopic reduction, and we first describe single-port surgery for SV. We discuss the 3 patients (a 79-year-old male, an 88-year-old female, and a 67-year-old female) with SV who underwent elective laparoscopic sigmoidectomy following endoscopic reduction. All 3 patients underwent laparoscopic sigmoidectomy, and 2 patients underwent single-port laparoscopic surgery without complications. Recurrence of volvulus was not seen during the course of 12 to 24 months. In experienced hands, elective laparoscopic sigmoidectomy after colonoscopic detorsion is a valuable alternative, and single-port surgery is also feasible.


2012 ◽  
Vol 26 (9) ◽  
pp. 2658-2666 ◽  
Author(s):  
Yamina Ladjici ◽  
Marc Pocard ◽  
Philippe Marteau ◽  
Patrice Valleur ◽  
Xavier Dray

HPB Surgery ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Kamil Gulpinar ◽  
Suleyman Ozdemir ◽  
S. Erpulat Ozis ◽  
Turgut Aydin ◽  
Atila Korkmaz

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.


Animals ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 1242
Author(s):  
Georg Haider ◽  
Ursula Schulz ◽  
Nikola Katic ◽  
Christian Peham ◽  
Gilles Dupré

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.


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