Endoscopic surgery through single-port incision: time for a trial?

Arezzo, Alberto; Morino, Mario

doi:10.1007/s00464-011-1679-0

Cited by 13 publications

(9 citation statements)

References 20 publications

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“…12 In May 2012, Arrezo and Morino posed the same question after a prospective randomized clinical trial. 13 In November 2011, Phillips et al showed a comparable complication rate for both procedures in a prospective randomized clinical trial of 200 patients. 7 This led to the conclusion that both procedures have a similar complication rate.…”

Section: Discussionmentioning

confidence: 95%

Development of single-port cholecystectomy: results of a case-control study matched to one surgeon

Wawra¹,

Buia²,

Hanisch³

2012

OAS

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Background: Single-port laparoscopic cholecystectomy is an evolving technique which is now widely established. Up until now, the safety of the procedure and a respective learning curve have not been adequately reported in most studies. The aim of this study was to demonstrate that single-port cholecystectomy is a safe procedure, with a positive learning curve from a case-control study matched to one surgeon. Methods: One hundred single-port cholecystectomies performed by one surgeon (AB) were retrospectively matched to 100 patients who underwent conventional laparoscopic cholecystectomy carried out by the same surgeon. The two groups were matched in respect of surgical indication, gender, age, and body mass index. The groups were compared with respect to operation time, use of additional trocars, analgesics required in the post anesthesia care unit, postoperative complications, and duration of hospital stay. Results: No significant difference was found between the two groups with respect to postoperative complications and stay in hospital. The operation time increased slightly in the single-port group. Directly after the operation, the analgesic use required in the post anesthesia care unit was higher in the single-port group. Consumption of analgesics on the surgical ward was very similar in each group. In respect to the learning curve, the operation time and use of additional trocars showed a positive trend, starting with the thirtieth operation. Conclusion: Single-port cholecystectomy is a feasible and safe procedure in a specialist setting. The procedure can be done under the same safety rules as those for conventional laparoscopic cholecystectomy. Considering the learning curve, starting with the thirtieth operation, a positive trend was seen. Long-term studies will be needed to establish the incidence and rate of incisional hernias.

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Section: Discussionmentioning

confidence: 95%

Development of single-port cholecystectomy: results of a case-control study matched to one surgeon

Wawra¹,

Buia²,

Hanisch³

2012

OAS

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“…This has led to the development of new techniques that have been proved to be safe and effective, and they are considered as gold standard treatments today. 8 Laparoscopy has provided surgeons with new and innovative ways to treat various surgical problems. Current LNF techniques involve the use of five laparoscopic port incisions.…”

Section: Discussionmentioning

confidence: 99%

Single-Incision Laraposcopic Nissen Fundoplication for Gastroesophageal Reflux Disease Using Conventional Instruments

Yılmaz¹,

Alptekın²,

Şahin³

2013

Turkiye Klinikleri J Med Sci

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A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Since the early 1990s with the development of minimally invasive techniques, laparoscopic Nissen fundoplication has become the gold standard intervention for the surgical treatment of gastroesophageal reflux disease (GERD), and antireflux surgical treatment of GERD can be performed by the single incision laparoscopic technique. In this study, we aimed to assess the safety and feasibility of single incision laparoscopic Nissen fundoplication (SILNF) with a new liver retraction technique. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Ten patients underwent single incision laparoscopic Nissen fundoplication between October 2011 and March 2012. In all patients, upper gastrointestinal endoscopy was performed. Ambulatory 24-h pH impedance monitoring was performed in all patients. The skin, subcutaneous tissue and fascia were incised with a 20 mm vertical midline incision above the umbilicus, and a SILS-Port™ (Covidien Corp, Mansfield, MA, USA) was placed with conventional laparoscopic hand instruments. R Re es su ul lt ts s: : The procedure was successfully performed in all ten patients. The mean Johnson-DeMeester score was 29±7.9. The mean operation time was 93±14.1 minutes. The hiatal area was clearly visible with the new liver retraction technique which was applied in this study. None of the patients required conversion to an open procedure. Two patients required the insertion of an additional port. There were no intraoperative or early postoperative complications. C Co on nc cl lu us si io on n: : SILNF is safe and technically feasible, and it can be performed with conventional laparoscopic instruments.K Ke ey y W Wo or rd ds s: : Fundoplication; gastroesophageal reflux; surgical procedures, minimally invasive Ö ÖZ ZE ET T A Am ma aç ç: : 1990'lı yılların başından itibaren minimal invaziv tekniklerin gelişmesi ile gastroözofageal reflü hastalığının cerrahi tedavisinde antireflü cerrahisinin uygulamasında, laparoskopik Nissen fundoplikasyon ameliyatı altın standart haline gelmiştir. Laparoskopik Nissen fundoplikasyon tek kesi laparoskopik teknik kullanılarak da gerçekleştirilebilir. Bu çalışmada, yeni bir karaciğer retraksiyon tekniği kullanılarak yapılan tek kesi laparoskopik Nissen fundoplikasyon ameliyatının uygulanabilirliğinin ve güvenliğinin değerlendirilmesi amaçlanmıştır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Ekim 2011 ve Mart 2012 tarihleri arasında 10 hastaya tek kesi laparoskopik Nissen fundoplikasyon ameliyatı uygulandı. Operasyon öncesi tüm hastalar üst gastrointestinal sistem endoskopisi ile değerlendirildi ve 24 saatlik pH empedans izlemi yapıldı. Deri, derialtı dokusu ve fasya, göbek üzerinde 20 mm dikey orta hat kesi ile geçildi ve SILS-Port ™ (Covidien Corp, Mansfield, MA, USA) konvansiyonel laparoskopik el aletleri ile yerleştirildi. B Bu ul lg gu ul la ar r: : Tek kesi laparoskopik fundoplikasyon 10 hastanın tamamında başarıyla uygulandı. Ortalama Johnson-DeMeester skoru 29±7,9 idi. Ortalama ameliyat süresi 93±...

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“…In fact, cosmesis is a difficult outcome to compare as it results from a subjective judgement (which was examined in the included studies with the exception of Kye et al [13]); a more reliable objective determination of the real aesthetic result could be made from a visualization and judgement of the scar made after 3-6 months by an external expert assessor (i.e. a plastic surgeon) as has been included in the ongoing MUSIC study (MUltiport vs SIngle port Cholecystectomy) [25]. Quality of life was only studied adequately in two trials [12,14]; in the first with a GIQLI (Gastrointestinal Quality of Life Index) test and in the second with the SF-36 (Medical Outcomes Study 36-Item Short-Form Health Survey) questionnaire.…”

Section: Mean Differencementioning

confidence: 99%

Acute appendicitis can be treated with single‐incision laparoscopy: a systematic review of randomized controlled trials

Vettoretto¹,

Cirocchi

Randolph

et al. 2015

Colorectal Disease

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Endoscopic surgery through single-port incision: time for a trial?

Cited by 13 publications

References 20 publications

Development of single-port cholecystectomy: results of a case-control study matched to one surgeon

Development of single-port cholecystectomy: results of a case-control study matched to one surgeon

Single-Incision Laraposcopic Nissen Fundoplication for Gastroesophageal Reflux Disease Using Conventional Instruments

Acute appendicitis can be treated with single‐incision laparoscopy: a systematic review of randomized controlled trials

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