Port placement for laparoscopic appendectomy with the best cosmesis and ergonomics

Ng, W. T.; Sze, Shirley; Hui, S. K.

doi:10.1007/s00464-002-8723-z

Cited by 11 publications

(15 citation statements)

References 3 publications

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“…According to our experiences and previous reports, [3][4][5][6] the better ergonomics and cosmetic results are advantages of placement of two ports in suprapubic area and transferring the laparoscope to the left suprapubic port in comparison to standard port position. The feasibility of application, shorter time of operation and lower cost of Hem-o-lok clips are advantages of this technique for ligation of appendiceal stump in comparison to the standard endoloop ligature.…”

Section: Resultsmentioning

confidence: 58%

“…Therefore, this configuration provides good and safe surgical exposure for laparoscopic appendectomy. 4 However, there are some important technical points during trocar insertion in the suprapubic region. Selection of suitable position with careful transillumination is necessary to prevent bleeding from abdominal wall vessels.…”

Section: Discussionmentioning

confidence: 99%

“…1). 4 For securing the base of appendix and ligation of mesoappendix, Hem-o-lok clip (Weck Closure Systems, Research Triangle Park, NC, USA) is applied (Figs 3A to E). …”

Section: Operative Techniquementioning

confidence: 99%

“…The other disadvantage is that it requires the operating surgeon to stand in an ergonomically unfavorable position with one arm crossed over the patient's body. 3,4 The standard technique for securing the base of the appendix is by double endoloop ligatures. However, application of endoloop requires dexterity and training.…”

Section: Introductionmentioning

confidence: 99%

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Technical Modifications in Laparoscopic Appendectomy

Aminian¹,

Karimian²,

Toolabi³

et al. 2011

WJOLS

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The technique of laparoscopic appendectomy has been modified several times in the past 20 years. In this report, we have described our modifications regarding the position of ports placement and closure of the base of appendix. Three surgeons successfully performed laparoscopic appendectomy in 108 cases with these modifications during the 3-year period. The first 10 mm port is placed in the periumbilical region. The second 10 mm and third 5 mm ports are inserted in the left and right side of abdomen below the pubic hairline respectively. Then the telescope is transferred from the periumbilical to the left suprapubic port. This mode of access leads to optimal ergonomics and cosmesis. For securing the base of appendix, only one Hem-o-lok clip (nonabsorbable polymer clip) is applied on each side. The use of Hem-o-lok clip is simple, safe and decreases the time and cost of laparoscopic appendectomy.

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Section: Resultsmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

“…1). 4 For securing the base of appendix and ligation of mesoappendix, Hem-o-lok clip (Weck Closure Systems, Research Triangle Park, NC, USA) is applied (Figs 3A to E). …”

Section: Operative Techniquementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Technical Modifications in Laparoscopic Appendectomy

Aminian¹,

Karimian²,

Toolabi³

et al. 2011

WJOLS

View full text Add to dashboard Cite

show abstract

“…Harper and colleagues recently reported that the placement of a laparoscope outside the working field can separate the camera holder and surgeon in space and avoid the need for the camera operator to cross hands with the surgeon [20]. Ng and associates suggested that a laparoscope placed between, instead of outside, the two working axes is ergonomically more favourable [21]. Port placement to achieve the perfect OATV angle should not only meet operational needs but also conform to the ergonomic requirements.…”

Section: Discussionmentioning

confidence: 99%

Subcostal Port Placement for Lateral Transperitoneoscopic Adrenalectomy: Assessment of Surgical Efficacy

Zhou

Fan

et al. 2015

Indian J Surg

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The purpose of this study was to evaluate the safety and efficacy of the modified lateral transperitoneal (MLTP) approach in comparison with the traditional lateral transperitoneal (LTP) and lateral retroperitoneal (LRP) approach. From January 2008 to December 2012, 287 patients underwent laparoscopic adrenalectomy, and the MLTP, LTP and LRP approaches were used in 93, 96 and 98 patients. The patients' demographics and surgical outcomes from the three approaches were reviewed and compared. There were no significant differences in the general demographic or postoperative recovery variables among the three groups. However, the average volume of blood lost was lower for the MLTP group than for the other two groups. Additionally, the average operative time was significantly shorter in the MLTP group than in the LTP group and slightly shorter than in the LRP group, but the differences were not statistically significant. This study shows that the MLTP approach is a safe and effective procedure which is associated with shorter operative time and lower volumes of blood loss.

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One-trocar appendectomy

Ng¹,

Tse²

2003

Surgical Endoscopy

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Port placement for laparoscopic appendectomy with the best cosmesis and ergonomics

Cited by 11 publications

References 3 publications

Technical Modifications in Laparoscopic Appendectomy

Technical Modifications in Laparoscopic Appendectomy

Subcostal Port Placement for Lateral Transperitoneoscopic Adrenalectomy: Assessment of Surgical Efficacy

One-trocar appendectomy

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