A review of single site minimally invasive surgery in infants and children

Garey, Carissa L.; Laituri, Carrie A.; Ostlie, Daniel J.; Peter, Shawn D. St.

doi:10.1007/s00383-010-2581-x

Cited by 43 publications

(29 citation statements)

References 20 publications

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“…Recently, in one review article it was reported, that single site approaches to infant operations, such as pyloromyotomy, become quite inapplicable to single site techniques [22]. However, Muensterer et al [2] refuted this definition [20].…”

Section: Discussionmentioning

confidence: 96%

Single-incision laparoscopic surgery for pyloric stenosis

et al. 2011

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Section: Discussionmentioning

confidence: 96%

Single-incision laparoscopic surgery for pyloric stenosis

et al. 2011

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“…In the field of pediatric surgery, single port surgery using a transumbilical approach has gained popularity during the last few years [7,8,9,10,11,12]. This technique is based on the idea that all laparoscopic trocars are inserted through a single umbilical incision.…”

Section: Discussionmentioning

confidence: 99%

Laparoendoscopic Single-Site (LESS) Surgery in Pediatric Urology: A 4-Year Experience

Zouari¹,

Dhaou²,

Ammar³

et al. 2019

Current Urology

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Objective: The aim of the study was to assess the feasibility and outcomes of pediatric urological laparoendoscopic single-site (LESS) surgery. Materials and Methods: We retrospectively collected charts of all patients who underwent LESS procedures in our department from January 2013 to December 2016. Data included demographic characteristics, type of procedures, intraoperative details, hospital stay, and complications. The umbilicus was used as the surgical site in all cases. All procedures were performed with a homemade glove port and standard straight 3- or 5-mm laparoscopic instruments. Results: Seventy-three patients (55 males, 18 females) were identifed. Procedures included 46 orchidop-exies, 21 pyeloplasties, 8 varicocelectomies, 3 nephrecto-mies, 3 nephroureterectomies, 3 orchiectomies, and 1 renal hydatid cyst treatment. Median operative time for the entire cohort was 47 min (range 26-156 min). There was no signifcant intraoperative blood loss. No conversion to conventional laparoscopy or open surgery was needed. All patients required paracetamol postoperatively. The mean follow-up was 18 months. Two patients had testicular atrophy after a Fowler-Stephens procedure and 1 patient had testicular reascension. Cosmetic results were excellent. Forty-five (62.5%) patients were discharged on the day of surgery. Conclusion: Our study demonstrated that LESS surgery using our glove port technique and conventional laparoscopic instruments is a feasible and safe technique for the surgical management of various pediatric urological conditions.

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“…In order to develop techniques that are even less invasive compared to the conventional laparoscopic approach and leave less abdominal scars behind, effort has been made to push forward single incision laparoscopic procedures in pediatric surgery (56). SILS is usually carried out through an umbilical incison, using flexible devices through a multi access port, allowing multiple instruments to be inserted at one site.…”

Section: Single Incision Laparoscopic Surgery (Sils)mentioning

confidence: 99%