Minimal-invasive Kolonchirurgie. Single- Port-Kolon-Resektion (SILS-Single Incision Laparoscopic Surgery)

2015 ◽  
Vol 33 (07) ◽  
pp. 194-201
Author(s):  
B. Vestweber ◽  
E. Straub ◽  
C. Paul ◽  
B. Kaldowski ◽  
A. Rink ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Single Incision ◽  
Single Port ◽  
Minimal Invasive ◽  
Single Incision Laparoscopic 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 paediatric heminephrouretectomy

2011 ◽  
Vol 1 (1) ◽  
pp. 18
Author(s):  
Simon Blackburn ◽  
Vanessa Chow ◽  
Varadarajan Kalidasan ◽  
Anies Mahomed
Keyword(s):  
Laparoscopic Surgery ◽  
Operative Time ◽  
Single Incision ◽  
Single Port ◽  
Single Incision Laparoscopic Surgery ◽  
Duplex Kidney ◽  
Operative Complications

We present a 4-year-old girl who underwent a single incision laparoscopic surgery (SILS) heminephrouretectomy. The procedure was completed without intra-operative complications or conversion. The operative time was 162 min. At 3 month follow up there is no evident scar and the patient is asymptomatic. SILS upper moiety heminephrouretectomy for duplex kidney is safe and technically feasible in children.

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.

scholarly journals IS THERE A FUTURE FOR SINGLE PORT LAPAROSCOPIC SURGERY?

2021 ◽  
pp. 5-10
Author(s):  
O. V. Galimov ◽  
E. N. Prazdnikov ◽  
V. O. Khanov ◽  
D. O. Galimov
Keyword(s):  
Laparoscopic Surgery ◽  
Surgical Treatment ◽  
Ovarian Cyst ◽  
Single Incision ◽  
Single Port ◽  
Prospective Analysis ◽  
Single Incision Laparoscopic Surgery ◽  
Single Incision Laparoscopy ◽  
Further Development ◽  
Kidney Resection

Aim. To identify a perspectives for using a single incision laparoscopic technologies in surgery.Materials and methods: Today we have a several questions relating to a single incision laparoscopic surgery such as the possible spectrum of their application, safety and economic efficiency. The main is: does this technologies have a perspectives in future.In paper was performed a retro and prospective analysis of the data of modern literature and authors own experience in surgical treatment using a single incision laparoscopic technologies.Results: The study included 74 patients who underwent: cholecystectomy – 64 (86,5%), nephrectomy – 4 (5,4%), ovarian cyst removal – 4 (5,4%), kidney resection – 2 (2,7 %), using various kind of ports: “X-Cone Karl Storz” (28), “Covidien” (18), “PPP” (7), and 21 cases of multi-trocar access.Conclusions: Our opinion that the perspectives for the development of single incision laparoscopy, is the further development of endoscopic devices, including robotic ones, and we believe that it will be a real future and endoscopic surgeons should be ready for this.

scholarly journals Usability of Elective Laparoscopic Sigmoidectomy and Feasibility of Single-Incision Laparoscopic Surgery for Sigmoid Volvulus: Report of Three Cases

2015 ◽  
Vol 100 (3) ◽  
pp. 408-413 ◽  
Author(s):  
Masami Ueda ◽  
Tadashi Onishi ◽  
Taishi Hata ◽  
Kentaro Nishida ◽  
Takehiro Yanagawa ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Single Incision ◽  
Single Port ◽  
The Elderly ◽  
Sigmoid Volvulus ◽  
Single Incision Laparoscopic Surgery ◽  
Therapeutic Guideline ◽  
Laparoscopic Sigmoidectomy ◽  
Single Port Surgery ◽  
Intestinal Obstructions

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.

scholarly journals Single-Port Laparoscopic Surgery in Children: Concept and Controversies of the New Technique

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Felix C. Blanco ◽  
Timothy D. Kane
Keyword(s):  
Laparoscopic Surgery ◽  
Minimally Invasive ◽  
Pediatric Surgery ◽  
Single Incision ◽  
Single Port ◽  
Single Incision Laparoscopic Surgery ◽  
Alternative Technique ◽  
Minimally Invasive Techniques ◽  
Broad Application ◽  
Invasive Techniques

Single-incision laparoscopic surgery (SILS) is emerging as an alternative technique to conventional laparoscopy for the treatment of common surgical diseases. Despite its wide use, the adoption of SILS in children has been slower since the broad application of minimally invasive techniques in children, in general, has historically lagged behind those in adults. This paper reviews the evolution of SILS from its original conception and its application in the field of pediatric surgery.

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