Introduction of the single incision laparoscopic surgery (SILS) port device

ASVIDE ◽  
2016 ◽  
Vol 3 ◽  
pp. 352-352
Author(s):  
Benedetta Bedetti ◽  
Pierfiorgio Solli ◽  
David Lawrence ◽  
Nikolaos Panagiotopoulos ◽  
Martin Hayward ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Single Incision ◽  
Single Incision Laparoscopic Surgery ◽  
Sils Port ◽  
Port Device

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.

Cholecystectomy using single-incision laparoscopic surgery with a new SILS port

2010 ◽  
Vol 17 (5) ◽  
pp. 688-691 ◽  
Author(s):  
Masahiro Ito ◽  
Yukio Asano ◽  
Akihiko Horiguchi ◽  
Tomohiro Shimizu ◽  
Toshiyuki Yamamoto ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Single Incision ◽  
Single Incision Laparoscopic Surgery ◽  
Sils Port

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.

A Remarkably Easy Knot-Tying Technique for Single-Incision Laparoscopic Surgery with the SILS Port for Gynecologic Diseases

2011 ◽  
Vol 18 (4) ◽  
pp. 500-502 ◽  
Author(s):  
Toshiaki Endo ◽  
Kunihiko Nagasawa ◽  
Kota Umemura ◽  
Tsuyoshi Baba ◽  
Hirofumi Henmi ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Single Incision ◽  
Single Incision Laparoscopic Surgery ◽  
Knot Tying ◽  
Sils Port ◽  
Knot Tying Technique

Single Incision Laparoscopic Surgery (SILS) Is Associated with Poorer Performance and Increased Surgeon Workload Compared with Standard Laparoscopy

2011 ◽  
Vol 77 (1) ◽  
pp. 73-77 ◽  
Author(s):  
Paul N. Montero ◽  
Christina E. Acker ◽  
B. Todd Heniford ◽  
Dimitrios Stefanidis
Keyword(s):  
Laparoscopic Surgery ◽  
Single Incision ◽  
Random Order ◽  
Single Incision Laparoscopic Surgery ◽  
Operating Room Efficiency ◽  
Task Load ◽  
Laparoscopic Instruments ◽  
Standard Laparoscopy ◽  
Sils Port ◽  
Assessment Questionnaire

Little is known about the effectiveness and challenges of single incision laparoscopic surgery (SILS). We hypothesized that SILS would lead to decreased performance and increased surgeon workload compared with standard laparoscopy and that the use of angulated instruments during SILS would be beneficial. General surgery residents and fellows (n = 14) voluntarily performed the Fundamentals of Laparoscopic Surgery task 1 (peg transfer) using 1) standard laparoscopic instruments and port position, 2) standard laparoscopic instruments through a SILS port, and 3) angulated instruments through a SILS port in random order. Performance was assessed with an objective score and participant workload using a modified National Aeronautics and Space Administration Task Load Index (NASA TLX) workload assessment questionnaire. Participant performance was best with standard laparoscopy followed by SILS with angulated graspers and SILS with straight instruments (scores 218 ± 26 vs 131 ± 61 vs 91 ± 57; P < 0.001, respectively). In addition, participants indicated that standard laparoscopy was easier than SILS and their workload was 35 to 53 per cent higher when performing SILS. SILS was associated with decreased performance and increased surgeon workload compared with standard laparoscopy during the performance of a simulated task. SILS performance improved when angulated instruments were used but remained inferior to standard laparoscopy. This may translate into poorer operating room efficiency and safety.

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