scholarly journals Single-Incision Multiport/Single Port Laparoscopic Abdominal Surgery (SILAP): A Prospective Multicenter Observational Quality Study

2016 ◽  
Vol 5 (3) ◽  
pp. e165 ◽  
Author(s):  
Rene Mantke ◽  
Markus Diener ◽  
Siegfried Kropf ◽  
Ronny Otto ◽  
Thomas Manger ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Single Incision ◽  
Single Port ◽  
Quality Study

Morbidität und Letalität der Single-Incision-Cholezystektomie: eine 3-Jahres-Registeranalyse

2020 ◽  
Vol 145 (04) ◽  
pp. 390-398
Author(s):  
Maik Sahm ◽  
Anne-Katrin Reinsch ◽  
Ronny Otto ◽  
Christian Mönch ◽  
Martin Gerdes ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Laparoscopic Cholecystectomy ◽  
Abdominal Surgery ◽  
Body Mass ◽  
Postoperative Komplikationen ◽  
Single Incision ◽  
Single Port ◽  
Single Incision Laparoscopic Cholecystectomy

Zusammenfassung Hintergrund Vor 2 Jahrzehnten wurde die Single-Incision-Chirurgie als neues Konzept in der minimalinvasiven Chirurgie etabliert. Die Cholezystektomie ist die am häufigsten durchgeführte Prozedur in dieser Technik. Die meisten Erkenntnisse beruhen auf randomisierten Studien. Es existieren keine groß angelegten multizentrischen Datenanalysen aus der klinischen Routine. Diese Analyse der klinischen Versorgungsforschung basiert auf der SILAP-Studie („single-incision multiport/single port laparoscopic abdominal surgery“). Patienten und Methode Die vorliegende Registerauswertung basiert auf Daten von 47 Kliniken im Zeitraum 2012 bis 2014. Die primären Endpunkte waren Gesamtmorbidität/Letalität. Multiple lineare und logistische Regressionsanalysen wurden durchgeführt. Die statistische Signifikanz war angegeben mit p < 0,05. Ergebnisse In der SILAP-Studie wurden die Daten von 975 Patienten mit Single Incision laparoscopic Cholecystectomy (SILC) in der klinischen Routine in einem Register erfasst. Die intraoperativen Komplikationen betrugen 3,2%. Die Rate der Gallengangverletzungen lag bei 0,1%. Postoperative Komplikationen traten in 3,7% der Fälle auf. Die Letalität war bei 0,2%. Die Operationszeit (Median) fiel im Studienverlauf von 60,0 auf 51,5 min (p = 0,001). Ein Zusatztrokar war in 10,3% der Fälle erforderlich. Die Konversionsrate zur konventionellen Cholezystektomie betrug 0,7%. In der multivariaten Analyse zeigten der Body-Mass-Index (p = 0,024), das männliche Geschlecht (p = 0,012) und die Operationszeit (p < 0,001) einen signifikanten Einfluss auf die intraoperativen Komplikationen. Patienten der ASA-Gruppe III (p = 0,001) und Patienten mit Zusatztrokaren oder der Konversion zur offenen Operation (p = 0,001) wurden als signifikante Faktoren bei den postoperativen Komplikationen ermittelt. Schlussfolgerung Die Registeranalyse dieser prospektiv multizentrisch erhobenen Daten zeigen, dass auch außerhalb der Selektionskriterien von randomisierten Studien die SILC in der klinischen Routine sicher durchführbar ist. Einzige Einschränkung ist ein BMI > 30 kg/m2, der einen signifikanten Einfluss auf die intraoperative Rate von Minorkomplikationen hatte.

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 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.

Single-port laparoscopic colectomy is safe and feasible in patients with previous abdominal surgery

2015 ◽  
Vol 209 (6) ◽  
pp. 1007-1012 ◽  
Author(s):  
Mitsuyoshi Tei ◽  
Masaki Wakasugi ◽  
Takeshi Omori ◽  
Shigeyuki Ueshima ◽  
Masayuki Tori ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Laparoscopic Colectomy ◽  
Single Port ◽  
Previous Abdominal 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 Single Port Laparoscopic Assisted Hysterectomy

2021 ◽  
Author(s):  
Michael L. Nimaroff ◽  
Eric Crihfield
Keyword(s):  
Range Of Motion ◽  
Surgical Approach ◽  
Single Incision ◽  
Single Port ◽  
Full Range ◽  
Laparoscopic Hysterectomy ◽  
Single Port Surgery ◽  
Innovative Method ◽  
Tissue Dissection ◽  
Laparoscopic Assisted

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.

scholarly journals First Canadian experience with robotic single-incision pyeloplasty: Comparison with multi-incision technique

2016 ◽  
Vol 10 (3-4) ◽  
pp. 83 ◽  
Author(s):  
Jeffrey Law ◽  
Neal Rowe ◽  
Jason Archambault ◽  
Sofia Nastis ◽  
Alp Sener ◽  
...  
Keyword(s):  
Single Incision ◽  
Single Port ◽  
Operating Time ◽  
Length Of Hospital Stay ◽  
Success Rates ◽  
Access Port ◽  
Significant Difference ◽  
Site Access ◽  
Da Vinci Robotic System ◽  
Incision Technique

<p><strong>Introduction:</strong> We compared the outcomes of single-incision, robotassisted laparoscopic pyeloplasty vs. multiple-incision pyeloplasty using the da Vinci robotic system.</p><p><strong>Methods:</strong> We reviewed all consecutive robotic pyeloplasties by a single surgeon from January 2011 to August 2015. A total of 30 procedures were performed (16 single:14 multi-port). Two different single-port devices were compared: the GelPort (Applied Medical, Rancho Santa Margarita, CA) and the Intuitive single-site access port (Intuitive Surgical, Sunnyvale, CA).</p><p><strong>Results:</strong> Patient demographics were similar between the two groups. Mean operating time was similar among the single and multi-port groups (225.2 min vs. 198.9 minutes [p=0.33]). There was no significant difference in length of hospital stay in either group (86.2 hr vs. 93.2 hr [p=0.76]). There was no difference in success rates or postoperative complications among groups.</p><p><strong>Conclusions:</strong> Single-port robotic pyeloplasty is non-inferior to multiple-incision robotic surgery in terms of operative times, hospitalization time, success rates, and complications. Verifying these results with larger cohorts is required prior to the wide adoption of this technique. Ongoing objective measurements of cosmesis and patient satisfaction are being evaluated.</p><p> </p>

scholarly journals Robotic-assisted single-incision gastric mobilization for minimally invasive oesophagectomy for oesophageal cancer: preliminary results

2020 ◽  
Vol 58 (Supplement_1) ◽  
pp. i65-i69
Author(s):  
Yu-Han Huang ◽  
Ke-Cheng Chen ◽  
Sian-Han Lin ◽  
Pei-Ming Huang ◽  
Pei-Wen Yang ◽  
...  
Keyword(s):  
Lymph Node ◽  
Minimally Invasive ◽  
Lymph Node Dissection ◽  
Oesophageal Cancer ◽  
Single Incision ◽  
Single Port ◽  
Node Dissection ◽  
Abdominal Lymph Node ◽  
Robotic Assisted ◽  
Minimally Invasive Oesophagectomy

Abstract OBJECTIVES With the gradual acceptance of robotic-assisted surgery to treat oesophageal cancer and the application of a single-port approach in several abdominal procedures, we adopted a single-port technique in robotic-assisted minimally invasive oesophagectomy during the abdominal phase for gastric mobilization and abdominal lymph node dissection. METHODS Robotic-assisted oesophagectomy and mediastinal lymph node dissection in the chest were followed by robotic-assisted gastric mobilization and conduit creation with abdominal lymph node dissection, which were performed via a periumbilicus single incision. The oesophagogastrostomy was accomplished either in the chest (Ivor Lewis procedure) or neck (McKeown procedure) depending on the status of the proximal resection margin. RESULTS The procedure was successfully performed on 11 patients with oesophageal cancer from January 2017 to December 2018 in our institute. No surgical or in-hospital deaths occurred, though we had one case each of anastomotic leakage, pneumonia and hiatal hernia (9%). CONCLUSIONS Robotic single-incision gastric mobilization for minimally invasive oesophagectomy for treating oesophageal cancer seems feasible. Its value in terms of perioperative outcome and long-term survival results awaits future evaluation.

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