Single Port Access (SPA) Splenectomy

Rottman, Steven J.; Podolsky, Erica R.; Kim, Eugene; Kern, Joseph; Curcillo, Paul G.

doi:10.4293/108680810x12674612014509

Cited by 24 publications

(16 citation statements)

References 12 publications

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“…[2–5] We found that this position provided an excellent view of the operative field. In the author’s experience (GS) of more than 100 different SILS procedures, avoidance of disposable port would give advantages of better ergonomics, a greater range of movements of instruments than the available port devices and has an added cost benefit.…”

Section: Discussionmentioning

confidence: 98%

Single-incision laparoscopic splenectomy with innovative gastric traction suture

et al. 2011

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Laparoscopic splenectomy is now the gold standard for patients with idiopathic thrombocytopenic purpura (ITP) undergoing splenectomy. There are a few reports in literature on single-incision laparoscopic (SIL) splenectomy. Herein, we describe a patient undergoing SIL splenectomy for ITP without the use of a disposable port device. We report a 20-year-old female patient with steroid-refractory ITP having a platelet count of 14,000/cmm who underwent a SIL splenectomy. Dissection was facilitated by the use of a single articulating grasper and a gastric traction suture and splenic vessels were secured at the hilum with an endo-GIA stapler. She made an uneventful postoperative recovery and was discharged on the second postoperative day. She is doing well with no visible scar at 8-month follow-up.

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Section: Discussionmentioning

confidence: 98%

Single-incision laparoscopic splenectomy with innovative gastric traction suture

et al. 2011

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“…The ideal indication for the laparoscopic splenectomy is an elective splenectomy in blood donor dogs to prevent transmission of hemobartonella infection [13]. Clinical and experimental researches were conducted to elaborate laparoscopic and open splenectomy [14,15] resulting in the recognition of laparoscopy as a gold standard procedure for splenectomy [16,17]. In veterinary medicine, the feasibility of multiple portal laparoscopic splenectomy and its superiority over the conventional open technique was documented [11,18].…”

Section: Introductionmentioning

confidence: 99%

Comparison between single and three portal laparoscopic splenectomy in dogs

2012

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BackgroundSingle incision laparoscopic surgery (SILS) is a newly growing technique to replace a more invasive conventional multiple portal laparoscopic surgery. The objective of this study was to compare single (SILS) with three portal (Conventional) laparoscopic splenectomy in dogs. Mongrel dogs (n = 18), weighting 15 ± 3 kg, were selected for this study (n = 12 SILS; n = 6 conventional). The area from xiphoid to pubis was prepared under aseptic conditions in dorsal recumbency with the head down and tilted 30 degree in the right lateral position. Pneumoperitoneum was established by CO2 using an automatic high flow pressure until achieving 12 mm Hg. Instrumentation used consisted of curved flexible-tip 5 mm Maryland forceps and ultracision harmonic scalpel for sealing and cutting of the vessels and splenic attachments.ResultsAll dogs recovered uneventfully. The splenectomy procedure using SILS and conventional methods were significantly different in the respective operative time (29.1 ± 1.65 vs. 42.0 + 2.69 min) and the length of the surgical scar (51.6 ± 1.34 mm vs. 72.0 ± 1.63 mm; P < 0.001). There were no post-operative wound complication including inflammation, infection, hernia formation and dehiscence up to one month after surgery. Meanwhile, the conversion to open surgery or application of additional portals was not required in both approaches.ConclusionThis study demonstrated that SILS is a safe and feasible operation and could be used as an alternative approach to three portal (Conventional) for splenectomy in dog.

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“…Moreover, since the main vessels were sectioned at the splenic hilum between 5-mm clips, as in classic laparoscopic splenectomy [12], and not by a linear stapler [2,4,5,7,9,13], no enlargement of the incision was required.…”

Section: Discussionmentioning

confidence: 99%

“…Advanced laparoscopic procedures like splenectomy have been proven to be feasible through SAL [2]. This procedure can be performed using straight classic instruments [3][4][5], but since only one incision is used, a working triangulation cannot be obtained (Fig. 1A) and there is conflict between the instruments' tips and the surgeon's hands.…”

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confidence: 99%

Single-access transumbilical laparoscopic splenectomy using curved reusable instruments

et al. 2011

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Single Port Access (SPA) Splenectomy

Abstract: A single port access technique is described to accomplish laparoscopic splenectomy.

Cited by 24 publications

References 12 publications

Single-incision laparoscopic splenectomy with innovative gastric traction suture

Single-incision laparoscopic splenectomy with innovative gastric traction suture

Comparison between single and three portal laparoscopic splenectomy in dogs

Single-access transumbilical laparoscopic splenectomy using curved reusable instruments

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