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2019, Number 1

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Rev Mex Cir Endoscop 2019; 20 (1)

Single port laparoscopic surgery. Initial experience

García MCJN, Serna SJL, León MC, Rivera GR

Language: Spanish
References: 23
Page: 13-18
PDF size: 255.12 Kb.


ABSTRACT

Introduction: The first description of the airport was in 1969 when Wheeless reported the first 4,000 cases of tubal ligation using the single port technique, it was reported that the healing was “so satisfactory that no scar was manifestly visible.” The first application of airport in general surgery was appendectomy in 25 patients by Pelosi in 1992 and in 2005 there is a new boom in airport surgery when Hirano introduced new articulated instruments. Material and methods: Estudio descriptivo, retrospectivo y observacional, se realizaron 17 cirugías monopuerto, de las cuales 11 fueron colecistectomías, tres apendicetomías y tres plastias inguinales TAPP, se analizaron las siguientes variables: Age, sex, body mass index, surgical time, intraoperative complications, bleeding, conversions to conventional open or laparoscopic surgery, postoperative pain, length of hospital stay and postoperative complications. Results: The sex corresponded to 14 (82%) females and three (18%) males. The average age was 24. Body mass index was 23 cm2/kg on average, surgery time was 95 minutes with bleeding of 100 cm3. The in-hospital stay was 28 hours, only one case required conversion to conventional laparoscopic surgery and two patients had surgical site infection. Conclusions: Single port surgery has not demonstrated its full potential and remains a very fertile field of research where new research will provide the direction this technical modality will take in the future.


REFERENCES

  1. Wheeless CR. A rapid, inexpensive and effective method of surgical sterilization by laparoscopy. J Reprod Med. 1969; 3: 65-69.

  2. Thompson B, Wheeless RC. Outpatient sterilization by laparoscopy. A report of 666 patients. Obstet Gynecol. 1971; 38: 912-915.

  3. Pelosi MA, Pelosi MA 3rd. Laparoscopic appendectomy using a single umbilical puncture (minilaparoscopy). J Reprod Med. 1992; 37: 588-594.

  4. D’Alessio A, Piro E, Tadini B, Beretta F. One-trocar transumbilical laparoscopic-assisted appendectomy in children: our experience. Eur J Pediatr Surg. 2002; 12: 24-27.

  5. Navarra G, Pozza E, Occhionorelli S, Carcoforo P, Donini I. One-wound laparoscopic cholecystectomy. Br J Surg. 1997; 84: 695.

  6. Piskun G, Rajpal S. Transumbilical laparoscopic cholecystectomy utilizes no incisions outside the umbilicus. J Laparoendoscopic Adv Surg Tech A. 1999; 9: 361-364.

  7. Hirano D, Minei S, Yamaguchi K, Yoshikawa T, Hachiya T, Yoshida T et al. Retroperitoneoscopic adrenalectomy for adrenal tumors via a single large port. J Endourol. 2005; 19: 788-792.

  8. Filipovic-Cugura J, Kirac I, Kulis T, Jankovic J, Bekavac-Beslin M. Single-incision laparoscopic surgery (SILS) for totally extraperitoneal (TEP) inguinal hernia repair: first case. Surg Endosc. 2009; 23: 920-921.

  9. Vidal O, Valentini M, Ginestà C, Martí J, Espert JJ, Benarroch G et al. Laparoscopic single-site surgery appendectomy. Surg Endosc. 2010; 24: 686-691.

  10. Saba SC, Curcillo PG. Single-port access (SPA) surgery: intracorporeal liver retractor for SPA Heller myotomy. Surg Endosc. 2008; 22: S285.

  11. Remzi FH, Kirat HT, Kaouk JH, Geisler DP. Single-port laparoscopy in colorectal surgery. Colorectal Dis. 2008; 10: 823-826.

  12. Leroy J, Cahill RA, Peretta S, Marescaux J. Single port sigmoidectomy in an experimental model with survival. Surg Innov. 2008; 15: 260-265.

  13. Nguyen NT, Hinojosa MW, Smith BR, Reavis KM. Single laparoscopic incision transabdominal (SLIT) surgery-adjustable gastric banding: a novel minimally invasive surgical approach. Obes Surg. 2008; 18: 1628-1631.

  14. Saber AA, Elgamal MH, Itawi EA, Rao AJ. Single incision laparoscopic sleeve gastrectomy (SILS): a novel technique. Obes Surg. 2008; 18: 1338-1342.

  15. Tsimoyiannis EC, Tsimogiannis KE, Pappas-Gogos G, Farantos C, Benetatos N, Mavridou P et al. Different pain scores in single transumbilical incision laparoscopic cholecystectomy versus classic laparoscopic cholecystectomy: a randomized controlled trial. Surg Endosc. 2010; 24: 1842-1848.

  16. Pelosi MA, Pelosi MA 3rd. Laparoscopic hysterectomy with bilateral salpingo-oophorectomy using a single umbilical puncture. N J Med. 1991; 88: 721-726.

  17. Visnjic S. Transumbilical laparoscopically assisted appendectomy in children: High-tech low-budget surgery. Surg Endosc. 2008; 22: 1667-1671.

  18. Inoue H, Takeshita K, Endo M. Single-port laparoscopy assisted appendectomy under local pneumoperitoneum condition. Surg Endosc. 1994; 8: 714-716.

  19. Ateş O, Hakgüder G, Olguner M, Akgür FM. Single-port laparoscopic appendectomy conducted intracorporeally with the aid of a transabdominal sling suture. J Pediatr Surg. 2007; 42: 1071-1074.

  20. Reoyo PJ, León MR, Cartón HC, Alonso AE, Martínez CR, Sánchez MJ. Apendicectomía laparoscópica por sistema “glove port”: nuestros primeros 100 casos. Revista Chilena de Cirugía. 2017; 69: 467-471.

  21. Bresadola F, Pasqualucci A, Donini A, Chiarandini P, Anania G, Terrosu G et al. Elective transumbilical compared with standard laparoscopic cholecystectomy. Eur J Surg. 1999; 165: 29-34.

  22. Hirano Y, Watanabe T, Uchida T, Yoshida T, Tawaraya K, Kato H et al. Single-incision laparoscopic cholecystectomy: Single institution experience and literature review. World J Gastroenterol. 2010; 16: 270-274.

  23. Sinha R, Malhotra V, Sikarwar P. Single incision laparoscopic TAPP with standard laparoscopic instruments and suturing of flaps: a continuing study. J Minim Access Surg. 2015; 11: 134-138. doi: 10.4103/0972-9941.142401.




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