A novel technique of finger-assisted laparoscopic surgery

Ichihara, Takao; Takada, Moriatsu; Fukumoto, Satoshi; Yasuda, Takashi; Kuroda, Yoshikazu

doi:10.1016/j.amjsurg.2003.11.003

Cited by 13 publications

(11 citation statements)

References 4 publications

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“…Adhesiolysis was performed if adhesions between the viscera and peritoneum existed from prior abdominal surgery or past abdominopelvic infection. The single-port system was made based on a modification of Ichihara et al and Kim et al procedure [10,11]. After insertion of the wound protractor (Alexis Ò X-small for 2-4 cm incisions, Applied Medical, CA, USA) into the abdominal cavity, the extraabdominal portion of the wound protractor was rolled up with the wrist portion of a surgical glove (TriflexLP, 7-0; Cardinal Health, OH, USA; Fig.…”

Section: Methodsmentioning

confidence: 99%

Embryonic natural orifice transumbilical endoscopic surgery (E-NOTES) for adnexal tumors

et al. 2009

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Section: Methodsmentioning

confidence: 99%

Embryonic natural orifice transumbilical endoscopic surgery (E-NOTES) for adnexal tumors

et al. 2009

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“…In these patients, the single-port access was created using an innovative method of combining a wound retractor with a surgical glove, a slight modification of a technique previously described for finger-assisted laparoscopic surgery [45]. The median size of the adnexal masses was 4 cm (range, 3–9 cm).…”

Section: Less Surgery In Gynecologymentioning

confidence: 99%

Laparoendoscopic Single-Site Surgery in Gynecology: Review of Literature and Available Technology

Uppal

Frumovitz

Escobar

et al. 2011

Journal of Minimally Invasive Gynecology

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Objective The goal of this article is to review the published literature on laparo-endoscopic single-site surgery (LESS) in gynecology and to present current advances in instruments for LESS surgery. Methods A review of the current literature on the use of laparo-endoscopic single-site surgery in gynecology was performed. In addition, a review of currently available techniques for peritoneal access and specialized instruments was done. Results As LESS surgery is relatively novel, the current literature on use of this technique in gynecology is somewhat limited. A total of 16 publications were available for the review of literature (10 case series, 2 comparative studies, 3 case reports and 1 surgical technique demonstration). In recent years, however, improvement in traditional laparoscopic techniques and availability of more advanced instruments has made single-incision laparoscopy more feasible and safer for the patient. There is increasing interest in the LESS surgery both as an alternative to traditional laparoscopy and as an adjunct to robotic surgery when performing complicated procedures through a single incision. Conclusion LESS surgery provides another option in the arena of minimally invasive gynecologic surgery. The ultimate role of this approach in gynecologic surgery remains to be determined.

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“…Therefore, hand-assisted techniques have been developed and adopted for the following surgeries requiring complex procedures: LADG with D2 lymph node dissection for AGC [41], LAPG [42], and LATG [43]. Ichihara et al [44] reported fingerassisted and modified hand-assisted procedures. There are few studies evaluating the outcome of hand-assisted gastrectomy for gastric cancer.…”

Section: Hand-assisted Laparoscopic Gastrectomymentioning

confidence: 99%

Laparoscopic gastrectomy with lymph node dissection for gastric cancer

2006

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surgery, including less invasiveness, less pain, earlier recovery, and better cosmesis [2]. Kitano et al. [3] first applied and described laparoscopy-assisted distal gastrectomy (LADG) as treatment for early gastric cancer (EGC) in 1994.With the development of various diagnostic modalities and the spread of mass screening, EGC now accounts for more than 50% of the total incidence of gastric cancer in Japan. The low frequency of lymph node metastasis in patients with EGC is well known; it reportedly occurs in 2%-5% of those with mucosal cancer and 11%-20% of those with submucosal cancer [4]. To allow for the treatment of EGC in patients without a risk of lymph node metastasis, laparoscopic wedge resection (LWR) with a lesion-lifting method was developed by Ohgami et al. [5] in 1992, and intragastric mucosal resection (IGMR) was developed by Ohashi [6] in the early 1990s. With the recent development of endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) [7], the use of LWR and IGMR seems to be decreasing, whereas the use of LADG with lymph node dissection has increased in patients with EGC with a risk of lymph node metastasis.The past 15 years have seen remarkable advances in laparoscopic surgical techniques and instruments, such as laparoscopic coagulating shears [8]. Extended lymph node dissection (D2) and total gastrectomy can now be performed laparoscopically [9,10]. However, LADG remains controversial as a standard surgery for gastric cancer because there are few studies evaluating the technical difficulty, advantages, and oncological feasibility of LADG.Here, we review reports, in the English-language literature, of LADG with lymph node dissection as treatment for cancer, to clarify the current status of this technique and related problems. AbstractSince 1991, laparoscopic surgery has been adopted for the treatment of gastric cancer, and it has been performed worldwide, especially in Japan and Korea. We reviewed the English-language literature to clarify the current status of and problems associated with laparoscopic gastrectomy with lymph node dissection as treatment for gastric cancer. In Japan, early-stage gastric cancer (T1/T2, N0) is considered the only indication for laparoscopic gastrectomy. As yet, there is little high-level evidence based on long-term outcome supporting laparoscopic gastrectomy for cancer, but reports have provided level 3 evidence that the procedure is technically safe, and that it yields better short-term outcomes than open surgery; that is, recovery is faster, hospital stay is shorter, there is less pain, and cosmesis is better. However, investigation into the oncological outcome of laparoscopic gastrectomy as treatment for cancer is lacking. To establish laparoscopic surgery as a standard treatment for gastric cancer, multicenter randomized controlled trials to compare the short-and longterm outcomes of laparoscopic surgery versus open surgery are necessary.

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A novel technique of finger-assisted laparoscopic surgery

Cited by 13 publications

References 4 publications

Embryonic natural orifice transumbilical endoscopic surgery (E-NOTES) for adnexal tumors

Embryonic natural orifice transumbilical endoscopic surgery (E-NOTES) for adnexal tumors

Laparoendoscopic Single-Site Surgery in Gynecology: Review of Literature and Available Technology

Laparoscopic gastrectomy with lymph node dissection for gastric cancer

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