Providing more through less: current methods of retraction in SIMIS and NOTES cholecystectomy

Abstract

Adequate retraction greatly simplifies SIMIS and NOTES surgery. Endograb internal retractors were easy to use and were found to provide optimal retraction and exposure during these procedures without complications.

Ovarian Suspension With Adjustable Sutures: An Easy and Helpful Technique for Facilitating Laparoendoscopic Single-Site Gynecologic Surgery

“…If the polypropylene suture is not available, it can be replaced by a combination of a straight needle and a silk suture for the same purpose. These sutures are inexpensive and disposable, in contrast to Endograb [29,30], which must be purchased in advance and sterilized after application. By clamping different sites of the sutures, the tension of the suspension is quite adjustable on demand during the surgery to facilitate the lifting, loosening, retraction, or fixation of the mass, whereas adjusting the position of Endograb is somewhat inconvenient and time consuming.…”

“…Currently, internal retractors (Endograb; Virtual Ports, Misgav, Israel) are available to facilitate laparoscopic surgery, including laparoscopic cholecystectomy [29,30]. Internal retractors are internally anchored retracting devices that can be introduced into the abdomen through a 5-mm port and removed at the end of surgery.…”

The Use of the EndoGrab™ Port-Free Endocavity Retractor in Single-Incision Laparoscopic Right Hemicolectomy

“…This retractor, therefore, enables surgeons to reduce not only the number of ports and incisions but also the number of assistant surgeons needed to hold conventional retraction devices during laparoscopic surgery. The device can be adjusted repeatedly throughout the operation to allow for optimal retraction and is removed at the end of surgery [1].…”

Reduced-Port-Chirurgie

“…2 [11]. Bedenken bezüglich der Nahtretraktion der Gallenblase und gelegentlicher Gallenblasenkarzinome sind publiziert worden, sodass wir uns möglicher-weise neueren Methoden zuwenden müs-sen. Zu dieser Thematik ist über die Verwendung von Magneten [13], selbsthaltenden Clips [14] und dem Gebrauch einfacher Penrose-Drainagen zur Leberretraktion [14] berichtet worden. Diese Konzepte machen deutlich, dass wir in der Weiterentwicklung der SinglePort-Chirurgie keine "extremen Positionen" einnehmen dürfen.…”