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Single port laparoscopic surgery

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https://www.readbyqxmd.com/read/28205030/safety-and-feasibility-of-reduced-port-robotic-distal-gastrectomy-for-gastric-cancer-a-phase-i-ii-clinical-trial
#1
Seungho Lee, Jin Kyong Kim, Youn Nam Kim, Dong-Su Jang, Yoo Min Kim, Taeil Son, Woo Jin Hyung, Hyoung-Il Kim
INTRODUCTION: Theoretically, reducing the number of ports required in minimally invasive surgery for gastric cancer would further minimize trauma associated therewith. Advances in single-site surgery have afforded surgeons the ability to perform reduced-port distal gastrectomy via a robotic approach using the Single-Site™ system, eliminating restrictions on the movement of surgical instruments. METHODS: This phase I/II study was designed as a single-arm prospective trial of reduced-port robotic distal gastrectomy (RRDG) by a single surgeon (NCT02347956)...
February 15, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28197793/single-port-laparoscopic-percutaneous-extraperitoneal-closure-of-femoral-hernia-in-children-and-adolescents-case-series
#2
R-B Tröbs, B Yilmaz, M Bahr, G Cernaianu, R M Vahdad
BACKGROUND: Femoral hernias are an often unexpected groin pathology during childhood. However, the pediatric surgeon has to be aware to diagnose femoral hernia and to repair this condition. This is the first report on laparoscopic percutaneous extraperitoneal closure of femoral hernia (LPEF) in children and adolescents. METHODS: Over a 6-year period in a bi-institutional clinical study, we retrospectively identified six children and one young adult who underwent LPEF repair...
February 14, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28190369/intra-abdominal-trocar-free-vacuum-liver-retractor-for-upper-gastrointestinal-surgery
#3
Christian Benzing, Helmut Weiss, Felix Krenzien, Matthias Biebl, Johann Pratschke, Ricardo Zorron
BACKGROUND: In laparoscopic upper-gastrointestinal (GI) surgery, an adequate retraction of the liver is crucial. Especially in single-port surgery and obese patients, problems may occur during liver retraction. The current study seeks to evaluate the efficacy and safety of the LiVac trocar-free liver retractor in laparoscopic upper-GI surgery. METHODS: The present study is a nonrandomized dual-center clinical series describing our preliminary results using the LiVac system for liver retraction...
February 1, 2017: Surgical Innovation
https://www.readbyqxmd.com/read/28159565/postoperative-pain-after-conventional-laparoscopic-versus-single-port-sleeve-gastrectomy-a-prospective-randomized-controlled-pilot-study
#4
Salvador Morales-Conde, Isaías Alarcón Del Agua, Antonio Barranco Moreno, María Socas Macías
BACKGROUND: Laparoscopic approach is the gold standard for surgical treatment of morbid obesity. The single-port (SP) approach has been demonstrated to be a safe and effective technique for the treatment of morbid obesity in several case control studies. OBJECTIVES: Compare conventional multiport laparoscopy (LAP) with an SP approach for the treatment of morbid obesity using sleeve gastrectomy in terms of postoperative pain using a visual analog scale (VAS) 0-100, surgical outcome, weight loss, and aesthetical satisfaction at 6 months after surgery...
November 17, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/28146416/single-incision-laparoscopic-sleeve-gastrectomy-review-and-a-critical-appraisal
#5
Nikolaos Dimitrokallis, Andreas Alexandrou, Dimitrios Schizas, Anastasios Angelou, Emmanouil Pikoulis, Theodoros Liakakos
BACKGROUND: Single-incision laparoscopic surgery has attracted a great deal of interest in the surgical community in recent years, including bariatric surgery. Single-incision laparoscopic sleeve gastrectomy (SILSG) has been proposed as an alternative to the multiport laparoscopic procedure; however, it has yet to meet wide acceptance and application. OBJECTIVE: We aim to summarize existing data on SILSG and check the procedure's feasibility, technical details, safety, and, if possible, outcomes...
February 1, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28145058/patient-reported-postoperative-pain-body-image-and-cosmetic-satisfaction-after-transumbilical-laparoendoscopic-single-site-adrenalectomy
#6
Takeo Nomura, Kohei Takei, Satoki Abe, Yuko Fukuda, Naoyuki Yamanaka, Shinya Sejiyama, Mutsushi Yamasaki, Tadamasa Shibuya, Tadasuke Ando, Ken-Ichi Mori, Yasuhiro Sumino, Fuminori Sato, Hiromitsu Mimata
INTRODUCTION: Laparoendoscopic single-site surgery is a recently innovated urologic surgical procedure. Transumbilical laparoendoscopic single-site adrenalectomy (LESS-A) is technically safe and feasible in patients with benign adrenal tumors. To improve patient counseling and informed consent, we evaluated patient-reported postoperative pain, body image, and cosmetic satisfaction after transumbilical LESS-A. METHODS: We reviewed 24 patients who underwent transumbilical LESS-A and assessed their operative and esthetic outcomes and incisional pain...
February 1, 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/28134702/single-port-robotic-assisted-sacrocolpopexy-our-experience-with-the-first-25-cases
#7
Emad Matanes, Roy Lauterbach, Susana Mustafa-Mikhail, Amnon Amit, Zeev Wiener, Lior Lowenstein
OBJECTIVES: In single-port surgery, the surgeon operates almost exclusively through a single entry point, typically the patient's navel, leaving only a single small scar. The aims of this study were to share some tips and tricks of single-port robotic-assisted sacrocolpopexy and to evaluate the learning curve of mastering the skills to operate this procedure. METHODS: This is a retrospective study of the first 25 single-port; robotic-assisted sacrocolpopexy surgeries performed during July to December 2015 at Rambam Health Care Campus by a single surgeon...
January 27, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28123466/treatment-effect-of-tusplv-on-recurrent-varicocele
#8
Tian-Zhong Yan, Xiao-Qiang Wu, Zhi-Wei Wang
The aim of the study was to analyze the treatment effect of transumbilical single-port laparoscopic varicocelectomy (TUSPLV) on recurrent varicocele (VC). In order to compare the surgical effects of TUSPLV to traditional retroperitoneal ligation of the internal spermatic vein, 64 patients with recurrent VC were enrolled and divided into the control group (n=30) and the observation group (n=34). Patients in the control group underwent surgery using traditional retroperitoneal ligation of the internal spermatic vein, while those in the observation group underwent surgery using TUSPLV...
January 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/28104498/laparoscopic-myomectomy-a-single-centre-retrospective-review-of-514-patients
#9
Elisabeth Mary Ruth Bean, Alfred Cutner, Tom Holland, Arvind Vashisht, Davor Jurkovic, Ertan Saridogan
STUDY OBJECTIVE: To review surgical outcomes and histopathological findings following laparoscopic myomectomy by a team at a university teaching hospital. DESIGN: This was a retrospective review of consecutive cases of laparoscopic myomectomy carried out by members of our minimal access surgery team between January 2004 and December 2015. DESIGN CLASSIFICATION: Canadian Task Force Classification II-3 SETTING: University Teaching Hospital PATIENTS: Women undergoing laparoscopic myomectomy INTERVENTIONS: Laparoscopic myomectomy MEASUREMENTS AND MAIN RESULTS: We collected women's demographic data, clinical histories and surgical outcomes, including complication rates and the incidence of undiagnosed uterine malignancy...
January 16, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28096321/synchronous-single-port-access-laparoscopic-right-hemicolectomy-and-laparoscopic-assisted-vaginal-hysterectomy-with-bilateral-salpingo-oophorectomy
#10
Jessica Ybañez-Morano, Andrew C Tiu
Laparoscopic surgery through a single incision is gaining popularity with different stakeholders. The advantages of improved cosmetics, decreased postoperative pain and blood loss continue to attract patients from different surgical fields. Multidisciplinary approach to different surgical entities through a single incision has just been introduced. We report the first case of a synchronous single-port access (SPA) laparoscopic right hemicolectomy and laparoscopic-assisted vaginal hysterectomy with bilateral salpingo-oophorectomy through a single incision above the umbilicus in a 48-year-old female with ascending colon mass and uterine mass with good postoperative outcomes...
January 16, 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28061037/single-port-laparoscopic-surgery-can-be-performed-safely-and-appropriately-for-colon-cancer-short-term-results-of-a-pilot-randomized-controlled-trial
#11
Byung Mo Kang, Sun Jin Park, Kil Yeon Lee, Suk-Hwan Lee
INTRODUCTION: Single-port laparoscopic surgery (SPLS) has gained popularity due to its cosmetic benefit, and therefore, has been applied to several kinds of benign operations, such as appendectomy and cholecystectomy. The safety and suitability of SPLS for colon cancer has not been widely proved. We aimed at validating the safety, efficacy, and short-term quality of life (QOL) of SPLS compared with conventional laparoscopic surgery (CLS) in patients with colon cancer. MATERIALS AND METHODS: Between June 2010 and April 2011, a total of 62 patients with pathology-proven colon cancer were randomly allocated to two groups: SPLS and CLS...
January 6, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28058494/-oncologic-esophageal-resection-and-reconstruction-open-hybrid-minimally-invasive-or-robotic
#12
I Gockel, D Lorenz
Minimally invasive resections are increasingly employed in oncologic surgery for esophageal carcinoma. The new German S3 guideline states that esophagectomy, as well as reconstruction of the esophagus, can be performed minimally invasively or in combination with open techniques (hybrid). However, the current value of different techniques - ranging from complete minimally invasive esophagectomy over hybrid to robotic surgery - remains unregarded.This review provides a critical comparison of these techniques based on current evidence...
January 5, 2017: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/28058471/a-comparative-study-of-outcomes-between-single-site-robotic-and-multi-port-laparoscopic-cholecystectomy-an-experience-from-a-tertiary-care-center
#13
Banujan Balachandran, Theadore A Hufford, Taha Mustafa, Kunal Kochar, Suela Sulo, Joubin Khorsand
BACKGROUND: The aim of this study was to compare the outcomes of single-site robotic cholecystectomy with multi-port laparoscopic cholecystectomy within a high-volume tertiary health care center. METHODS: A retrospective analysis of prospectively maintained data was conducted on patients undergoing single-site robotic cholecystectomy or multi-port laparoscopic cholecystectomy between October 2011 and July 2014. A single surgeon performed all the surgeries included in the study...
January 5, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28018588/experimental-use-of-a-novel-single-port-gasless-laparoendoscopic-operative-field-formation-device
#14
Hai Hu, Kai Zhang, Gang Zhao, Zhaoyan Jiang, Anhua Huang, Jingli Cai, Anan Xu, Haidong Li, Chuanqi He, Kan Ding, Ruiqi Lu, Ruiqi Ye
INTRODUCTION: Traditional laparaendoscopic surgery using CO2 pneumoperitoneum is associated with complications and the existing gasless laparaendoscopic surgery has shortcomings such as poor visibility in the operation field. To overcome the disadvantages of the current lifting gasless laparaendoscopic operation platforms, we developed an inflatable device for gasless laparoscopic operation field formation (LOFF) that can be internally installed and applied in practice. METHODS: We initially designed operation platforms for gasless laparaendoscopic single-port (GLESP) surgery...
January 2017: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/28000197/-efficacy-evaluation-of-laparoscopic-surgery-for-children-with-persistent-cloaca
#15
Chen Wang, Shuli Liu, Zhen Chen, Long Li, Wei Zheng
OBJECTIVE: To explore the feasibility and efficacy of laparoscopic surgery in the treatment of children with persistent cloaca. METHODS: Clinical data of 26 female children with high type persistent cloaca undergoing operation in the Capital Pediatric Institution between November 2005 and February 2015 were retrospectively analyzed. Mean age of these children was (1.4±1.6) years old. Distal end of rectum locating in the superior border of pubis was the standard of diagnosis...
December 25, 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/28000188/-role-of-transumbilical-single-port-laparoscopic-surgery-in-the-treatment-of-chronic-intractable-constipation
#16
Wenjing Gong, Yajun Jiang
With the development of laparoscopic technique, single port laparoscopic technique application is more and more common, further achieving the ideal effect without abdominal scar. Efficacy of colectomy by transumbilical single port laparoscopic surgery in treating patients with chronic intractable constipation was satisfactory in our hospital during the past two years. This paper mainly introduces the role and development of single port laparoscopic surgery in the treatment of chronic intractable constipation...
December 25, 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/27994345/reduced-port-laparoscopic-cholecystectomy-single-and-a-half-incision-lap-chole
#17
Sisir Kr Nath
: Laparoscopic cholecystectomy has almost replaced the age-old procedure of open cholecystectomy for gall stone disease. Further attempts are made to reduce the number of ports to give maximum benefits of minimally invasive surgery. The author has developed a technique where 10-mm port in supraumbilical area and 5-mm port in epigastric area are used and hence the nomenclature of single and a half incision laparoscopic cholecystectomy. It is different from two-port laparoscopic cholecystectomy where the second port is 10 mm...
October 2016: Indian Journal of Surgery
https://www.readbyqxmd.com/read/27990648/total-laparoscopic-gastropexy-using-1-simple-continuous-barbed-suture-line-in-63-dogs
#18
Joel D Takacs, Ameet Singh, J Brad Case, Philipp D Mayhew, Michelle A Giuffrida, Ana V Caceres, W Alexander Fox-Alvarez, Jeffrey J Runge
OBJECTIVE: To describe the use and outcome of a single, simple continuous, barbed suture line for prophylactic, total laparoscopic gastropexy in dogs. STUDY DESIGN: Multi-center, retrospective case series. ANIMALS: Sixty-three client-owned dogs. METHODS: Medical records of dogs undergoing total laparoscopic gastropexy using a barbed suture at 4 academic veterinary hospitals from 2011-2015 were reviewed. Data collected included signalment, procedure time, procedure-associated complications, short-term complications, and long-term outcome...
February 2017: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/27990592/combined-notes-total-mesorectal-excision-and-single-incision-laparoscopy-principles-for-conservative-proctectomy-a-single-centre-study
#19
H Meillat, C de Chaisemartin, F Poizat, E Bories, R Fara, J R Delpero, B Lelong
BACKGROUND: Surgery for low rectal cancer remains a challenge when a standard laparoscopic approach is used. Transanal endoscopic total mesorectal excision (TME) has been shown to be feasible and to be associated with a low conversion rate. Combining the transanal and transabdominal single-port approaches (with an abdominal single port implanted in the future stoma and extraction site) could allow TME with minimal wound trauma, low morbidity, and faster recovery. The aim of the current study was to assess the short- and mid-term results of this technique...
January 2017: Techniques in Coloproctology
https://www.readbyqxmd.com/read/27981823/robotic-single-port-cholecystectomy-current-data-and-future-perspectives
#20
Anastasios Angelou, Athanasios Skarmoutsos, Georgios A Margonis, Demetrios Moris, Christos Tsigris, Emmanouil Pikoulis
INTRODUCTION: Minimally invasive techniques are used more and more frequently. Since conventional laparoscopic approach has been the gold standard, surgeons in their effort to further reduce the invasiveness of conventional laparoscopic cholecystectomy have adopted Single Incision approach. The widespread adoption of robotics has led to the inevitable hybridization of robotic technology with laparoendoscopic single-site surgery (LESS). As a result, employment of the da Vinci surgical system may allow greater surgical maneuverability, improving ergonomics...
December 16, 2016: Minerva Chirurgica
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