Initial experience in children using conventional laparoscopic instruments in single-incision laparoscopic surgery

Tam, Yuk Him; Lee, Kim Hung; Sihoe, Jennifer Dart Yin; Chan, Kin Wai; Cheung, Siu Tim; Pang, Kristine Kit Yi

doi:10.1016/j.jpedsurg.2010.08.036

Cited by 77 publications

(51 citation statements)

References 15 publications

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“…[18][19][20][21][22][23] Many diseases are not accompanied by a specific lesion site, such as Meckel diverticulum and Crohn disease, making preoperative identification of any lesion important. To our knowledge, this is the first case report showing the diagnosis, localization, and tattooing of an OGIB lesion of the small intestine by preoperative DBE, and removal of the lesion by subsequent T-SILS.…”

Section: Discussionmentioning

confidence: 99%

Success of Minimally Invasive Transumbilical Single-Incision Laparoscopic Surgery (T-SILS) Plus Double-Balloon Endoscopy (DBE) for Pediatric Intestinal Angiodysplasia: A Case Report

Mori

Koike

Inoue

et al. 2015

International Surgery

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We describe here a child with angiodysplasia of the small intestine, diagnosed by doubleballoon endoscopy (DBE), who was treated with transumbilical single-incision laparoscopic surgery (T-SILS). A 9-year-old boy presented to another hospital with intermittent fresh melena of a duration of 5 months and 4 days. Anoscopy and gastric mucosal membrane scintigraphy were unsuccessful diagnostically, and he was referred to our hospital for further examination and treatment. Under general anesthesia, we performed DBE by an anal route, with the ileum assessed for a distance of about 150 cm from the ileocecal valve. Although no bleeding lesion was found in the colon, a flat elevated venous lake approximately 20 mm in size was observed 20 cm from the ileocecal valve, suggesting angiodysplasia of the small intestine. A tattoo was made under DBE, and wedge resection by T-SILS was performed 1 month later under general anesthesia. The excised specimen appeared as a flat, elevated venous lake approximately 20 mm in size. Histopathologic analysis revealed several dilated and distorted veins within the submucosa of the small intestine. The patient was diagnosed with angiodysplasia of the small intestine. His postoperative course was uneventful, and he remained free of recurrent gastrointestinal bleeding 18 months after the operation. This is the first case report showing the diagnosis, localization, and tattooing of an obscure gastrointestinal bleeding lesion of the small intestine by preoperative DBE and removal of the lesion by subsequent T-SILS in children.

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Section: Discussionmentioning

confidence: 99%

Success of Minimally Invasive Transumbilical Single-Incision Laparoscopic Surgery (T-SILS) Plus Double-Balloon Endoscopy (DBE) for Pediatric Intestinal Angiodysplasia: A Case Report

Mori

Koike

Inoue

et al. 2015

International Surgery

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“…The two working ports spaced farthest away within the limits of the skin incision maximizes the extracorporeal working space and allows adequate triangulation of the straight instruments to perform surgical procedures. Trocarless insertion has been previously advocated for some simple surgical procedures to increase the degree of freedom [4]. For complicated operations that require frequent changing different working instruments, such as cyst excision and Roux-en-Y hepaticojejunostomy for CDC, we recommend using trocar insertion and removing the 3-mm trocars during hepatico-jejunal anastomosis to maximize freedom of movement of the working instruments.…”

Section: Single-incision Laparoscopic Cyst Excision and Rouxen-y Hepamentioning

confidence: 99%

“…It has been adopted in cholecystectomies, pyloromyotomies, inguinal hernia repairs, high ligation for varicocele, Nissen fundoplications, endorectal pull-through procedures, and has become more common in appendectomies in children [1][2][3][4]. In the current study, we review our initial experience with singleincision laparoscopic cyst excision and Roux-en-Y hepaticojejunostomy single-incision laparoscopic hepaticojejunostomy (SILH) in children with choledochal cysts (CDC), and evaluate the safety and feasibility of this new technique.…”

mentioning

confidence: 99%

Single-incision laparoscopic Roux-en-Y hepaticojejunostomy using conventional instruments for children with choledochal cysts

Diao

Dong

et al. 2011

Surg Endosc

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“…Recently there have been reports of many techniques such as single incision laparoscopic surgery, single site surgery, etc. (1)(2)(3). We know that in all of these reported techniques, a 20-30 mm incision is needed below or on the umbilicus with or without using a multiport access device.…”

Section: Introductionmentioning

confidence: 99%

Periumbilical Multiport Laparoscopic Appendectomy: A Preliminary Experience Using a Novel Technique

Akkoyun¹,

Sükan²

2013

Ann Colorectal Res

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Background: Single incision laparoscopic surgery (SILS) is especially developed to achieve better cosmetic results. Using the umbilicus for ports access is widely accepted in this approach. Objectives: The aim of this study was to evaluate our initial experience with a new port access technique applied for laparoscopic appendectomy: Periumbilical Multiport Laparoscopic Appendectomy (PUMLA). Patients and Methods: Between January 2011 and March 2013, a total of 14 appendectomies were performed using a new port access technique. Patients were selected randomly. Thirteen of these cases had acute appendicitis, and one patient had familial Mediterranean fever (FMF). During these operations, three separate curvilinear incisions were created in the periumbilical skin folds and ports were placed in these ways. The five millimeter port was used for a zero degree telescope. The other two were used to manipulate the laparoscopic instruments. The appendectomy was performed intracorporeally in six cases; however, in eight cases, the appendix was taken out via a trocar after dissecting the mesoappendix, then the appendectomy was performed extracorporeally. Reconstruction was not needed to the umbilicus as there was no anatomical distortion. Results: Five patients were female, and nine were male. Age range was 5 to 15 years (mean 9.7 years). Operation time was between 20 and 82 minutes (mean 43 minutes). We did not need to convert to standard laparoscopic appendectomy or place an additional port in any of these patients. The average postoperative hospitalization was 14.1 hours (5-33 h). No complications such as wound infection, trocar site hernia, adhesive small-bowel obstruction, or abscess were observed in the early and late postoperative period. Good cosmetic results were obtained after the separate periumbilical curvilinear incision technique. Conclusions: We found that this new port access technique is feasible, safe, and associated with good cosmetic results.

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Initial experience in children using conventional laparoscopic instruments in single-incision laparoscopic surgery

Cited by 77 publications

References 15 publications

Success of Minimally Invasive Transumbilical Single-Incision Laparoscopic Surgery (T-SILS) Plus Double-Balloon Endoscopy (DBE) for Pediatric Intestinal Angiodysplasia: A Case Report

Success of Minimally Invasive Transumbilical Single-Incision Laparoscopic Surgery (T-SILS) Plus Double-Balloon Endoscopy (DBE) for Pediatric Intestinal Angiodysplasia: A Case Report

Single-incision laparoscopic Roux-en-Y hepaticojejunostomy using conventional instruments for children with choledochal cysts

Periumbilical Multiport Laparoscopic Appendectomy: A Preliminary Experience Using a Novel Technique

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