Single-incision laparoscopic surgery as a teaching procedure: a single-center experience of more than 2100 procedures

Wakasugi, Masaki; Tei, Mitsuyoshi; Omori, Takeshi; Anno, Kana; Mikami, Tsubasa; Tsukada, Ryo; Koh, Masahiro; Gakuhara, Atsushi; Furukawa, Katsunori; Suzuki, Yozo; Masuzawa, Toru; Kutsukake, Kentaro; Tanemura, Masahiro; Akamatsu, Hiroki

doi:10.1007/s00595-016-1315-7

Cited by 21 publications

(16 citation statements)

References 18 publications

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“…This raises two issues in surgical education: (i) the reduced opportunity for training in open surgical skills; and (ii) the lack of a standardized approach to laparoscopic surgical training for some procedures. Wakasugi et al reported that single‐incision laparoscopic appendectomy was feasible and could be a useful teaching procedure for surgical residents to perform on selected patients . TULAA requires basic and simple skills that are used in both laparoscopic and open surgery, and it offers a good opportunity for surgical residents to put learned skills into practice.…”

Section: Discussionmentioning

confidence: 99%

Transumbilical laparoscopic appendectomy performed by residents is safe and feasible

Endo

Kujirai

Maeda

et al. 2016

Asian J Endoscop Surgery

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Section: Discussionmentioning

confidence: 99%

Transumbilical laparoscopic appendectomy performed by residents is safe and feasible

Endo

Kujirai

Maeda

et al. 2016

Asian J Endoscop Surgery

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“…The biggest hurdles are to achieve triangulation between the instruments in the operative field and appropriate retraction of the gallbladder. Various single-port systems and laparoscopic instruments have been devised to overcome these challenges [ 7 ]. To date, however, there is no consensus on a standardized SILC technique, and different surgeons use different techniques, suggesting that there are inherent limitations of SILC itself.…”

Section: Introductionmentioning

confidence: 99%

Single-incision laparoscopic cholecystectomy using instrumental alignment in robotic single-site cholecystectomy

et al. 2018

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PurposeThere is no standardized single-incision laparoscopic cholecystectomy (SILC) technique in contrast to robot single-site cholecystectomy (RSSC). We tried to implement the array of instruments used in RSSC to SILC.MethodsA series of 108 consecutive patients underwent SILC between September 2014 and July 2017 by 2 surgeons. The indication was benign disease of the gallbladder. The perioperative outcomes were reviewed. We used the 4-channel Glove port and conventional laparoscopic instruments.ResultsThe study subjects consisted of 29 males and 79 females, and the mean age was 44.4 years (range, 16–70 years). Mean body mass index was 24.1 kg/m2. The mean working time was 25.0 ± 10.7 minutes and total operation time was 44.4 ± 12.4 minutes. There were 7 cases of conversion (additional 1 port in 4 patients, additional 2 ports in 2, and conventional 4 port technique in 1). Bile spillage from the gallbladder during the procedure occurred in 17 (15.7%). There were no postoperative complications. Postoperative hospital stay was 2.0 ± 0.6 days.ConclusionThe alignment of the instruments in a RSSC was successfully implemented into a SILC, so that an equally effective operation was possible.

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“…Appendectomy, splenectomy, gastrectomy, inguinal hernia repair, colorectal surgeries, and especially cholecystectomy can be performed with this method. [8,9] In the literature, the fact that laparoscopic appendectomy lasts longer than open appendectomy is considered to be a disadvantage of the method. [10] Similarly, it has been reported that SILS appendectomy lasts longer than conventional laparoscopic appendectomy.…”

Section: Discussionmentioning

confidence: 99%

Appendectomy With a 'Single Incsion Laparoscopic Surgery' (Sils) Port From a Plastic Bottle

Kanat¹

2018

Laparosc Endosc Surg Sci

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Introduction:Although minimally invasive surgery offers great advantages to patients, it has certain disadvantages, such as dependence on technology, it is not always easily accessible, and greater expense. The aim of this study was to present a simple and inexpensive new technique for performing the minimally invasive surgery of a single-port laparoscopic appendectomy. Materials and Methods:The data of 6 patients who underwent single-port laparoscopic appendectomy using the mouth of a plastic bottle and a glove between January and November 2017 were evaluated retrospectively. Results:The mean age of the patients was 22.5±2.73 years (range: 19-27 years). Three patients were male (50%) and 3 patients were female (50%). The mean duration of the operation was 61.8±5.52 minutes (range: 53-68 minutes). Two patients (33.3%) needed an additional port because manipulation could not be achieved and a laparotomy was performed on 1 (16.6%) of these patients. There were no complications except for a wound site infection in 1 patient. Conclusion:While minimally invasive single-port laparoscopic surgery is successfully performed, it is a method that has not yet become the gold standard, has a fairly long learning curve, and is difficult to access due to financial and technical reasons. Simpler and cheaper methods using the same principle can be applied successfully, provided that they are performed by experienced hands.

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Single-incision laparoscopic surgery as a teaching procedure: a single-center experience of more than 2100 procedures

Abstract: SILS seems safe and feasible for a wide range of procedures. Based on our findings, we believe that SILS-LA could be a useful teaching procedure for resident doctors to perform on selected patients, under the guidance of an experienced staff surgeon.

Cited by 21 publications

References 18 publications

Transumbilical laparoscopic appendectomy performed by residents is safe and feasible

Transumbilical laparoscopic appendectomy performed by residents is safe and feasible

Single-incision laparoscopic cholecystectomy using instrumental alignment in robotic single-site cholecystectomy

Appendectomy With a 'Single Incsion Laparoscopic Surgery' (Sils) Port From a Plastic Bottle

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