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Laparoscopic, minimal invasive, NOTES, one port, single port

Jacob Cherian, Jared S Fridley, Edward A M Duckworth
BACKGROUND: Ventriculoperitoneal shunting is one of the most commonly performed neurosurgical procedures. Typically, for insertion of the peritoneal catheter, a mini-laparotomy technique is used. Although generally safe, it can be cosmetically undesirable and time consuming. Complications include malpositioning, bowel injury, and delayed hernias. Laparoscopic techniques have been advocated to address these issues, but have been slow to gain traction with neurosurgeons. OBJECTIVE: To describe our experience with single port optical access laparoscopy for placement of ventriculoperitoneal shunts...
June 2015: Neurosurgery
Ricardo Zorron, Henrique N Phillips, Greg Wynn, Manoel P Galvao Neto, Djalma Coelho, Ricardo C Vassallo
BACKGROUND: Applications for natural orifice translumenal endoscopic surgery (NOTES) to access the abdominal cavity have increased in recent years. Despite potential advantages of transanal and transcolonic NOTES for colorectal pathology, it has not been widely applied in the clinical setting. This study describes a series of nine patients for whom we performed transanal retrograde ("Down-to-Up") total mesorectal excision for rectal cancer. MATERIALS AND METHODS: Under IRB approval, informed consent was obtained from each patient with rectal adenocarcinoma...
July 2014: Journal of Minimal Access Surgery
Mathias Wolters, Florian Imkamp, Lucy Wohlatz, Stephan Jutzi, Christoph A von Klot, Markus A Kuczyk, Axel S Merseburger, Ute Walcher, Udo Nagele, Thomas R W Herrmann
BACKGROUND: Nephron sparing surgery for renal tumors has evolved as the standard of care for resectable renal tumors. Laparoscopic partial nephrectomy (PN) has gained recognition after technical refinements were able to match the well-established criteria for open partial nephrectomy. Laparoendoscopic surgery (LESS) is one of the approaches to further minimize invasiveness of laparoscopic surgery. OBJECTIVE: We report our initial experience with LESS partial nephrectomy in single-incision transumbilical surgery technique (SITUS) in daily clinical practice...
March 2015: World Journal of Urology
Luis Felipe Brandao, Riccardo Autorino, Homayoun Zargar, Jayram Krishnan, Humberto Laydner, Oktay Akca, Maria Carmen Mir, Dinesh Samarasekera, Robert Stein, Jihad Kaouk
BACKGROUND: Recent evidence supports the use of robotic surgery for the minimally invasive surgical management of adrenal masses. OBJECTIVE: To describe a contemporary step-by-step technique of robotic adrenalectomy (RA), to provide tips and tricks to help ensure a safe and effective implementation of the procedure, and to compare its outcomes with those of laparoscopic adrenalectomy (LA). DESIGN, SETTING, AND PARTICIPANTS: We retrospectively reviewed the medical charts of consecutive patients who underwent RA performed by a single surgeon between April 2010 and October 2013...
November 2014: European Urology
P Noel, M Nedelcu, M Gagner
INTRODUCTION: Single port instrument delivery extended reach (SPIDER(®)) surgical system is a revolutionary surgical platform that allows triangulation of the surgical instruments while eliminating the crossing of instruments, the problematic characteristic of single access laparoscopic surgery. METHODS: The purpose of this study was to analyze our initial experience with SPIDER(®) sleeve gastrectomy and to present the technical details of this new minimally invasive approach, performed in ten patients at the La Casamance Private Hospital between November 2012 and April 2013...
April 2014: Journal of Visceral Surgery
Norihito Wada, Minoru Tanabe, Fumio Kataoka, Yuko Kitagawa
Natural orifice translumenal endoscopic surgery (NOTES) is considered the ultimate minimally invasive intervention for visceral disease. The transvaginal route is now the only one that can be used for NOTES procedures in daily clinical practice. We performed hybrid NOTES appendectomy that was preevaluated and approved by the Japan NOTES and Institutional Review Board. A 5-mm trocar was inserted transumbilically and used for laparoscope access. An additional transumbilical 2.3-mm port was placed, through which the surgeon inserted a grasper...
November 2013: Nihon Geka Gakkai Zasshi
J M García-Mediero, P M Cabrera, F Cáceres, E Mateo, A García-Tello, J C Angulo
CONTEXT: Laparoscopic surgery in urology is considered to be an important advance, although it is not exempt from some morbidity associated to the use of multiple trocars and specifically to the extraction of the specimen. In order to decrease this morbidity and improve esthetics, other techniques are being developed, such as natural orifice transluminal endoscopic surgery (NOTES) and laparoendoscopic single-site surgery (LESS). It is aimed to review the current status of laparoendoscopic single site surgery in urology...
February 2013: Actas Urologicas Españolas
H Egi, M Okajima, T Hinoi, Y Takakura, Y Kawaguchi, M Shimomura, M Tokunaga, T Adachi, M Hattori, T Urushihara, T Itamoto, H Ohdan
BACKGROUND: Laparoscopic surgery has spread quickly during the past twenty years, and has become one of the important treatments in the field of colorectal surgery. Recently, natural orifice transluminal endoscopic surgery (NOTES) has been studied as the next generation of minimally-invasive surgery, but the feasibility and safety of the NOTES method have not been evaluated. In such a situation, single-incision laparoscopic surgery has attracted interest from surgeons worldwide. However, single-incision laparoscopic colorectal surgery has not yet been standardized...
2012: Scandinavian Journal of Surgery: SJS
K Krajinovic, C T Germer
As essentially all operations performed with open laparotomy can be completed with minimal access, surgeons and industry continue to push the boundaries of minimally invasive surgery. New and controversial approaches, such as natural orifice translumenal endoscopic surgery (NOTES) and single incision or single port surgery are being explored with the goal of reduced surgical morbidity. The fundamental idea of single port surgery is therefore to minimize the number of abdominal wall incisions and allow access for all laparoscopic instruments through one skin incision...
May 2011: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
Eduardo M Targarona, Maria B Lima, Carmen Balague, Manuel Trias
Multiport laparoscopic splenectomy (LS) is considered the "gold standard" for the management of surgical diseases in normal or slightly enlarged spleens. The concept of minimal-invasive surgical techniques has progressed since the early 1990s from standard multiport laparoscopy to natural orifice transluminal endoscopic surgery (NOTES) and, more recently, to single-port access (SPA). In this paper, we describe our technique for SPA splenectomy and provide a critical review of the current literature on SPA for splenic diseases...
January 2011: Journal of Minimal Access Surgery
Sara L Best, Jeffery A Cadeddu
Recent advances in urology have included natural orifice translumenal endoscopic surgery (NOTES) and laparoendoscopic single-site surgery (LESS). These techniques seek to minimize morbidity by reducing the number of transabdominal port sites, but this comes at a cost of decreased instrument agility and other technical challenges that have prevented LESS and NOTES from entering mainstream urologic practice. Magnetic anchoring and guidance systems (MAGS) consist of instruments that are inserted laparoscopically through an entry in the peritoneal cavity at one point and then driven into position elsewhere and controlled with magnets...
July 2010: Indian Journal of Urology: IJU: Journal of the Urological Society of India
Santiago Horgan, Kari Thompson, Mark Talamini, Alberto Ferreres, Garth Jacobsen, Georg Spaun, John Cullen, Lee Swanstrom
BACKGROUND: Single-port and incisionless surgical approaches hold the promise of fewer complications, reduced pain, faster recovery, and improved cosmesis compared with traditional open or laparoscopic approaches. The ability to select an access approach (i.e., endolumenal, single-port, transvaginal, or transgastric) with one platform may be important to optimization of individual patient results. The authors report their results using these four separate surgical approaches tailored to three different therapeutic procedures, all with the use of a single flexible platform, the Incisionless Operating Platform (IOP)...
February 2011: Surgical Endoscopy
T Carus
Laparoscopic operations using only one trocar (single-port technique) have the aim to further minimize the trauma of access incisions similar to NOTES. To carry this out special trocars and instruments are needed which are presented in this article with respect to application and function. The range of indications corresponds to the conventional laparoscopic surgery. Recent publications have shown that operations using a single-port technique are safe and efficient. Greater technical difficulties and higher costs must be considered...
May 2010: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
Jay D Raman, Daniel J Scott, Jeffrey A Cadeddu
Evolution of minimally invasive techniques has generated an impetus in the surgical community to reduce the invasiveness of laparoscopic surgery. To achieve this goal, surgeons are either limiting the number of transabdominal trocars using laparoendoscopic single site surgery (LESS) or eliminating them completely using natural orifice translumenal endoscopic surgery (NOTES). The principle challenge with LESS or NOTES procedures is loss of triangulation, reduction in instrument working envelopes, and collision of conventional laparoscopic instrumentation...
May 2009: Journal of Endourology
Sashi S Kommu, Abhay Rané
The quest to make minimally invasive techniques even more 'minimal' has generated a drive within the surgical community to explore novel ways of achieving this. This has led to surgeons attempting to either decrease the number of trocars placed through the abdominal wall or eliminate them completely. This led to the evolution of several approaches, including natural orifice translumenal endoscopic surgery (NOTES), single incision laparoscopic surgery (SILS), single port access surgery and one port umbilical surgery (OPUS) or E-NOTES...
January 2009: Expert Review of Medical Devices
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