Reevaluation of needlescopic surgery

Tagaya, Nobumi; Kubota, Keiichi

doi:10.1007/s00464-011-1839-2

Cited by 36 publications

(28 citation statements)

References 34 publications

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“…This improvement in SPA execution may shorten the operative time and reduce postoperative pain. For this reason needlescopic instruments have become important tools for expanding the indications for SILS in various fields of surgery [21]. In the present study, the mean operative time tended to be shorter in patients who underwent an SPA using a glove port with a percutaneous organ-holding device than in the commercial port patients, but this difference was not statistically significant.…”

Section: Discussioncontrasting

confidence: 54%

Outcomes of a Single-Port Laparoscopic Appendectomy Using a Glove Port With a Percutaneous Organ-Holding Device and Commercially-Available Multichannel Single-Port Device

Lee

Kim

et al. 2014

Ann Coloproctol

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PurposeA laparoscopic appendectomy is now commonly performed. The push in recent years toward reducing the number of ports required to perform this surgery has led to the development of a single-port laparoscopic appendectomy (SPA). We compared postoperative pain after an SPA using a glove port with a percutaneous organ-holding device (group 1) with that of an SPA using a commercially-available multichannel single-port device (group 2).MethodsBetween March 2010 and July 2011, a retrospective study was conducted of a total of 77 patients who underwent an SPA by three surgeons at department of surgery, Kangbuk Samsung Medical Center. Thirty-eight patients received an SPA using a glove port with a percutaneous organ-holding device. The other 39 patients received an SPA using a commercially-available multichannel single port (Octo-Port or SILS Port). Operative details and postoperative outcomes were collected and evaluated.ResultsThere were no differences in the mean operative times, times to pass gas, postoperative hospital stays, or cosmetic satisfaction scores between the two groups. The pain score in the first 24 hours after surgery was higher in group 2 than group 1 patients (P < 0.001). Furthermore, the trocar used in group 2 was more expensive than that used in group 1.ConclusionAn SPA using a glove port with a percutaneous organ-holding device was associated with a lower pain score during the first 24 hours after surgery because of the shorter fascia incision length and a cheaper cost than an SPA using a commercially-available multichannel single-port device.

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Section: Discussioncontrasting

confidence: 54%

Outcomes of a Single-Port Laparoscopic Appendectomy Using a Glove Port With a Percutaneous Organ-Holding Device and Commercially-Available Multichannel Single-Port Device

Lee

Kim

et al. 2014

Ann Coloproctol

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“…Smaller incisions result in decreased incisional pain and reduced risk of complications such as port-site bleeding, infection, and herniation. Moreover, minimal scarring allows better cosmetic results [73]. On the other hand, narrow operative field, lower image quality due to lack of definition and reduced light transmission [16, 74], and blurred vision with the use of electrocautery [75] are almost unanimously reported to be the “Achilles' heel” of this technique and cause more stress for the surgeon especially when using 3 mm scopes.…”

Section: Discussionmentioning

confidence: 99%

Minilaparoscopic Colorectal Resections: Technical Note

Bona

Molteni

Montorsi

2012

Minimally Invasive Surgery

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Laparoscopic colorectal resections have been shown to provide short-term advantages in terms of postoperative pain, general morbidity, recovery, and quality of life. To date, long-term results have been proved to be comparable to open surgery irrefutably only for colon cancer. Recently, new trends keep arising in the direction of minimal invasiveness to reduce surgical trauma after colorectal surgery in order to improve morbidity and cosmetic results. The few reports available in the literature on single-port technique show promising results. Natural orifices endoscopic techniques still have very limited application. We focused our efforts in standardising a minilaparoscopic technique (using 3 to 5 mm instruments) for colorectal resections since it can provide excellent cosmetic results without changing the laparoscopic approach significantly. Thus, there is no need for a new learning curve as minilaparoscopy maintains the principle of instrument triangulation. This determines an undoubted advantage in terms of feasibility and reproducibility of the procedure without increasing operative time. Some preliminary experiences confirm that minilaparoscopic colorectal surgery provides acceptable results, comparable to those reported for laparoscopic surgery with regard to operative time, morbidity, and hospital stay. Randomized controlled studies should be conducted to confirm these early encouraging results.

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“…8,9 Series of gastric resections, splenectomies, nephrectomies, hysterectomies, colon resections, and adrenalectomies demonstrated the safety and feasibility of needlescopic surgery. [12][13][14][15][16][17][18] We acknowledge some peculiarities and possible limitations of minilaparoscopic instruments, such as higher susceptibility to bending, which results in increased difficulty when dissection is carried out on a very hard fibrous tissue. Moreover, the limited variety of 3-mm dissectors with effective bipolar coagulation can make unroofment of the ureter more challenging when performed using needlescopic instruments.…”

Section: Discussionmentioning

confidence: 99%

“…[8][9][10][11][12] During the last years, various series of minilaparoscopic procedures have been reported in the literature, with encouraging results. [11][12][13][14][15][16][17][18] Our group has recently published the first study describing the application of minilaparoscopy to endometrial cancer staging. 12 As a further development of the implementation of ultra minimally invasive surgery in gynecologic oncology, we started to perform radical hysterectomy through a minilaparoscopic approach.…”

Section: Introductionmentioning

confidence: 99%

Nerve-Sparing Minilaparoscopic Versus Conventional Laparoscopic Radical Hysterectomy Plus Systematic Pelvic Lymphadenectomy in Cervical Cancer Patients

et al. 2013

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Reevaluation of needlescopic surgery

Abstract: NS is a safe and feasible procedure that allows experienced surgeons to achieve minimally invasive surgery with low morbidity, without the need to convert to a conventional or open procedure.

Cited by 36 publications

References 34 publications

Outcomes of a Single-Port Laparoscopic Appendectomy Using a Glove Port With a Percutaneous Organ-Holding Device and Commercially-Available Multichannel Single-Port Device

Outcomes of a Single-Port Laparoscopic Appendectomy Using a Glove Port With a Percutaneous Organ-Holding Device and Commercially-Available Multichannel Single-Port Device

Minilaparoscopic Colorectal Resections: Technical Note

Nerve-Sparing Minilaparoscopic Versus Conventional Laparoscopic Radical Hysterectomy Plus Systematic Pelvic Lymphadenectomy in Cervical Cancer Patients

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