Single-Port Access: A Feasible Alternative to Conventional Laparoscopic Splenectomy

Targarona, Eduardo M.; Balagué, Carmen; Martínez, Carmen Rodríguez; Pallarès, Lluís Cases; Estalella, Laia; Trías, Manuel

doi:10.1177/1553350609353765

Cited by 47 publications

(35 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, single access was applied recently for this procedure, with low complication and conversion rates. The technique described by Targarona et al was applied successfully in 17 patients, mostly for immune thrombocytopenic purpura (ITP) [30] , and similar experience was also presented by other authors [15 -19,31] . The patient is placed in the standard right decubitus position for LS, with the table fl exed at the fl ank.…”

Section: Splenectomy (Video 84)mentioning

confidence: 65%

Single‐Port Surgery

Zorrón

Gash

Dixon

2012

Natural Orifice Translumenal Endoscopic Surgery (NOTES)

View full text Add to dashboard Cite

Section: Splenectomy (Video 84)mentioning

confidence: 65%

Single‐Port Surgery

Zorrón

Gash

Dixon

2012

Natural Orifice Translumenal Endoscopic Surgery (NOTES)

View full text Add to dashboard Cite

“…Sus aplicaciones actuales se han extendido a un sinnúmero de procedimientos más complejos como: colectomía [26][27][28][29][30][31] , nefrectomía [32][33][34] , cirugía antirrefl ujo 35,36 , esplenectomía 37,38 , histerectomía 39,40 , hepatectomías 41 , etc. La cirugía bariátrica no ha sido ajena a estos avances, publicándose múltiples exitosas experiencias en banda gástrica ajustable (BGA) [42][43][44] y GM 12,15,16,18 .…”

Section: Discussionunclassified

Gastrectomía en manga transumbilical con técnica simplificada: técnica y resultados quirúrgicos en 100 pacientes

et al. 2012

Rev Chil Cir

View full text Add to dashboard Cite

Simplifi ed transumbilical sleeve gastrectomy. Technique and surgical results in 100 patientsBackground: The use of transumbilical approach for sleeve gastrectomy has been recently reported, using different technique variations. Aim: To report the technique and surgical results of a transumbilical approach simplifi ed sleeve gastrectomy, using rigid instruments. Material and Methods: Ninety four women and six men, selected by a multidisciplinary team, underwent transumbilical sleeve gastrectomy. The operative technique involved a transumbilical incision, introduction of a SILS ® or GelPoint ® multiport, and a 5mm metallic accessory trocar laterally in the left fl ank. Rigid instruments were used in all patients. The greater curvature was dissected from 4-5 cm above the pylorus to the angle of His. Gastric transection was completed with a stapler, and calibrated with a 36 French tube advanced through the pylorus. Hemostasis of the staple line was carried out with metallic clips. A barium swallow was performed in ten randomly chosen patients, confi rming the correct tubular shape of the stomach. Results: Body mass index of operated patients ranged from 30 to 43 kg/m 2 . Mean operative time was 56.4 ± 16.7 minutes. During the early postoperative period, two patients had a hemoperitoneum, one had an antral leak and one had an intestinal perforation. No conversion to conventional laparoscopy or open technique was required. No patient died. The mean length of hospital stay was 2.3 ± 0.5 days. The cosmetic result was satisfactory for all patients. Conclusions: Transumbilical sleeve gastrectomy is a safe and feasible procedure with the reported technique. The insertion of an accessory 5mm trocar in the left fl ank simplifi es the procedure, allowing the use of rigid instruments.

show abstract

“…Leroy et al reported SILS colorectal surgery with no conversions [18]. Larger series of SILS spleenectomy has been published by Targorona et al In his series of 8 cases, conversion was required in 2 cases, the blood loss was <100 ml and the spleen weight < 500 g. It offered better cosmesis, fewer complications, enhanced patient recovery but evidence was scarce [19].…”

Section: Discussionmentioning

confidence: 99%

Single Incision Laparoscopic Surgery-An Overview and Current Status

Goel¹

2012

View full text Add to dashboard Cite

Single incision laproscopic surgery is an alternative to conventional multiport laproscopy. Natural orifice transluminal endoscopic surgery term coined by a Consortium in 2005 remains a research technique with few clinical cases. Single incision surgery offers advantage of better cosmesis, reduced incisions, lesser hernias, decreased pain and infections. Long learning curves and cost of instrumentation are the difficulties encountered in its propagation. Single incision laproscopic surgery is an evolving technique for advanced laproscopic centers. This article outlines the overview of devices and instruments and the techniques, feasibility of single incision laproscopic surgery.

show abstract

Single-Port Access: A Feasible Alternative to Conventional Laparoscopic Splenectomy

Abstract: SILS access can be safely used for operative visualization, hilum transection, and spleen removal with conventional instrumentation, reducing parietal wall trauma to a minimum. The clinical, esthetic, and functional advantages require further analysis.

Cited by 47 publications

References 18 publications

Single‐Port Surgery

Single‐Port Surgery

Gastrectomía en manga transumbilical con técnica simplificada: técnica y resultados quirúrgicos en 100 pacientes

Single Incision Laparoscopic Surgery-An Overview and Current Status

Contact Info

Product

Resources

About