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single port laparoscopy

Alberto Arezzo, Roberto Passera, Alberto Bullano, Yoav Mintz, Asaf Kedar, Luigi Boni, Elisa Cassinotti, Riccardo Rosati, Uberto Fumagalli Romario, Mario Sorrentino, Marco Brizzolari, Nicola Di Lorenzo, Achille Lucio Gaspari, Dario Andreone, Elena De Stefani, Giuseppe Navarra, Salvatore Lazzara, Maurizio Degiuli, Kirill Shishin, Igor Khatkov, Ivan Kazakov, Rudolf Schrittwieser, Thomas Carus, Alessio Corradi, Guenther Sitzman, Antonio Lacy, Selman Uranues, Amir Szold, Mario Morino
BACKGROUND: Single-port laparoscopic surgery as an alternative to conventional laparoscopic cholecystectomy for benign disease has not yet been accepted as a standard procedure. The aim of the multi-port versus single-port cholecystectomy trial was to compare morbidity rates after single-access (SPC) and standard laparoscopy (MPC). METHODS: This non-inferiority phase 3 trial was conducted at 20 hospital surgical departments in six countries. At each centre, patients were randomly assigned to undergo either SPC or MPC...
October 24, 2016: Surgical Endoscopy
V Peretti, E Chereau, E Lambaudie, F Greco, M Butarelli, C Jauffret, S Rua-Ribeiro, G Houvenaeghel
OBJECTIVE: Carry out a preliminary study comparing postoperative pain and intraoperative and postoperative complications between micro-laparoscopy and laparoscopic monotrocart non-oncological adnexal surgery. METHODS: All patients should benefit from a benign adnexal surgery were included prospectively from February to May 2014. The insufflation pressure, infiltration of trocar holes with a local anesthetic, postoperative analgesics were prescribed standardized...
October 14, 2016: Gynécologie, Obstétrique & Fertilité
Grace S Li
No abstract text is available yet for this article.
September 2016: Journal of Thoracic Disease
Eric Leblanc, Fabrice Narducci, Lucie Bresson, Delphine Hudry
OBJECTIVE: To explore the feasibility of an oncologically acceptable management for an intermediate-risk endometrial cancer (EC) in an elderly, using the combination of transvaginal single-port laparoscopy and sentinel node policy. METHODS: For this 85-years old patient, BMI 32kg/m(2), with IB grade 2 endometrioid EC, a single vaginal approach was attempted [1] to perform a total hysterectomy, bilateral salpinago-oophorectomy and pelvic node assessment guided by SND [2]...
October 13, 2016: Gynecologic Oncology
Sofie A F Fransen, Jacqueline van den Bos, Laurents P S Stassen, Nicole D Bouvy
BACKGROUND: Single-port laparoscopy is a step forward toward nearly scar less surgery. Concern has been raised that single-incision laparoscopic surgery (SILS) is technically more challenging because of the lack of triangulation and the clashing of instruments. Robotic single-incision laparoscopic surgery (RSILS) in chopstick setting might overcome these problems. This study evaluated the outcome in time and errors of two tasks of the Fundamentals of Laparoscopic Surgery on a dry platform, in two settings: SILS versus RSILS...
October 5, 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Fuminori Sato, Ken Nakagawa, Akihiro Kawauchi, Akio Matsubara, Takatsugu Okegawa, Tomonori Habuchi, Koji Yoshimura, Akio Hoshi, Hidefumi Kinoshita, Akira Miyajima, Yasuyuki Naitoh, Shogo Inoue, Naoshi Itaya, Shintaro Narita, Kazuya Hanai, Kazutoshi Okubo, Masaaki Yanishi, Tadashi Matsuda, Toshiro Terachi, Hiromitsu Mimata
OBJECTIVE: To report on a multi-institutional series of non-robotic urological laparoendoscopic single-site surgery in Japan. METHODS: Consecutive cases of laparoendoscopic single-site surgery carried out between February 2009 and December 2012 at nine academic institutions were included. We examined the surgical outcomes, including conversion and complications rates. RESULTS: Four hundred and sixty-nine cases were included in the analysis...
October 4, 2016: International Journal of Urology: Official Journal of the Japanese Urological Association
Omar E Aly, Douglas H Black, Haroon Rehman, Irfan Ahmed
BACKGROUND: Appendicectomy is a well-established surgical procedure used in the management of acute appendicitis. The operation can be performed with minimally invasive surgery or as an open procedure. A further development in the minimally invasive appendicectomy technique has been the introduction of single incision laparoscopic surgery (SILA). AIM: To ascertain any differences in outcomes from available trials comparing SILA with conventional multi-incision laparoscopic appendicectomy (CLA)...
October 2, 2016: International Journal of Surgery
Andrea Porta, Alberto Aiolfi, Cinzia Musolino, Ilaria Antonini, Marco Antonio Zappa
BACKGROUND: Laparoscopic sleeve gastrectomy has gained a wide acceptance in the surgical community with an increasing popularity in the field of bariatric surgery. Simultaneously more surgeons have become acquainted with the single port techniques and sleeve gastrectomy has been regarded as an ideal field of application. Literature is scarce about operative and clinical outcomes of single port sleeve gastrectomy compared to conventional laparoscopy. The primary purpose of the study was to compare operative outcomes in the two study groups...
September 30, 2016: Obesity Surgery
L B Huffman, R J Spencer, E E Medlin, S Uppal, L W Rice, A N Al-Niaimi
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
A S Santos Filho, Ahf Brandão, M Fistarol, P G Giostri, M B Noviello
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
F Sendag, A Akdemir, D Simsek, M K Oztekin
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
Y Peng, C Li, Z Han, X Nie, W Lin
PURPOSE: Single-port laparoscopic herniorrhaphy is widely employed for indirect inguinal hernia repair in children. However, few surgeons utilize the single-port technique to repair such hernias with concealed deferent ducts. The aim of this study was to assess the application of the modified single-port laparoscopic technique (MSPT) in cases with concealed deferent ducts and to compare the results to those obtained with the two-port technique (TPT). METHODS: Between January 2006 and January 2012, all consecutive cases were retrospectively studied...
September 6, 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Say-June Kim, Byung-Jo Choi, Sang Chul Lee
BACKGROUND/OBJECTIVE: Although consensus has been reached on the superiority of laparoscopy for a majority of conditions underlying acute abdominal pain, the safety and feasibility of single-port laparoscopic colectomy (SPLC) in emergency situations have not been determined. METHODS: A prospective electronic database of all emergency patients who underwent either multiport laparoscopic colectomy (MPLC) or SPLC between April 2006 and December 2014 was used to compare the surgical outcomes of these operative methods...
August 31, 2016: Asian Journal of Surgery
Salvador Morales-Conde, Jesús Cañete-Gómez, Virginia Gómez, María Socas Macías, Antonio Barranco Moreno, Isaias Alarcón Del Agua, Francisco Javier Padillo Ruíz
BACKGROUND: After reports on laparoendoscopic single-site (LESS) cholecystectomy, concerns have been raised over the level of difficulty and a potential increase in complications when moving away from conventional gold standard multiport laparoscopy due to incomplete exposure and larger umbilical incisions. With continued development of technique and technology, it has now become possible to fully replicate this gold standard procedure through an LESS approach. First experiences with the newly developed technique and instrument are reported...
October 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Ross O Downes
INTRODUCTION: The consensus about whether the single port approach is advantageous remains controversial. As the ambulatory service becomes the standard of care, techniques are in evolution to augment the patient experience in this setting. This forms the basis for evaluating SILS (Single Incision Laparoscopic Surgery) prosthetic ventral hernia repair in the ambulatory setting. We report a SILS technique of ventral hernia repair using the Stryker Ideal-eyes articulating laparoscope and standard laparoscopic instruments in the day-case setting...
2016: International Journal of Surgery Case Reports
Turgut Donmez, Oguzhan Sunamak, Sina Ferahman, Server Sezgin Uludag, Dogan Yildirim, Adnan Hut
INTRODUCTION: The two-port laparoscopic appendectomy technique (TPLA) lays between the conventional three-port trocar procedure and single-port laparoscopic appendectomy surgery. During TPLA, the appendix is suspended with stitches, resulting in perforation risk and difficulty in exploration. AIM: We used a needle grasper in TPLA to hang and manipulate the appendix. MATERIAL AND METHODS: Thirty-four patients (10 female, 24 male) who underwent TPLA between February 2015 and November 2015 were analyzed retrospectively for patient demographics, duration of operation, laparotomy or conventional laparoscopy necessity, drain use, complications, and hospital stay periods...
2016: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
Nagabhushana Mahadevappa, Swathi Gudage, Karthikeyan V Senguttavan, Ashwin Mallya, Sachin Dharwadkar
OBJECTIVE: Vesicovaginal fistula (VVF) is a major complication with psychosocial ramifications. In literature, few VVF cases have been managed by laparoendoscopic single site surgery (LESS) and for the 1(st) time we report VVF repair by LESS using conventional laparoscopic instruments. We present our initial experience and to assess its feasibility, safety and outcome. PATIENTS AND METHODS: From March 2012 to September 2015, LESS VVF repair was done for ten patients aged between 30 and 65 (45...
July 2016: Urology Annals
F P Buckley, H E Vassaur, D C Jupiter, J H Crosby, C J Wheeless, J L Vassaur
PURPOSE: Single-incision laparoscopic surgery (SILS) has been demonstrated to be a feasible alternative to multiport laparoscopy, but concerns over port-site incisional hernias have not been well addressed. A retrospective study was performed to determine the rate of port-site hernias as well as influencing risk factors for developing this complication. METHODS: A review of all consecutive patients who underwent SILS over 4 years was conducted using electronic medical records in a multi-specialty integrated healthcare system...
October 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
C Chantada, A García-Tello, C Esquinas, A Moraga, C Redondo, J C Angulo
INTRODUCTION: Umbilical laparoendoscopic single-site (LESS) surgery is an increasingly used modality for treating renal masses. We present a prospective comparison between LESS renal surgery and conventional laparoscopy. MATERIAL AND METHOD: A comparative paired study was conducted that evaluated the surgical results and complications of patients with renal neoplasia treated with LESS surgery (n=49) or multiport laparoscopy (n=53). The LESS approach was performed with reusable material placed in the navel and double-rotation curved instruments...
June 27, 2016: Actas Urologicas Españolas
Ruoyan Liu, Yanan Wang, Wenjun Xiong, Ze Zhang, Haijun Deng, Guoxin Li
OBJECTIVE: To evaluate the efficacy and cosmetic result of suprapubic single incision laparoscopic surgery(SSILS) in the treatment of rectosigmoid cancer. METHODS: Clinicopathological data of 16 patients undergoing SSILS and 122 undergoing conventional laparoscopic surgery(CLS) for sigmoid colon and upper rectal cancer in the Nanfang Hospital from August 2011 to July 2012 were retrospectively analyzed. The patients were analyzed with propensity score matching at a ratio of 1 to 2 by logistic regression analysis...
June 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
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