Transumbilical Gelport Access Technique for Performing Single Incision Laparoscopic Surgery (SILS)

Merchant, Aziz M.; Cook, Michael W.; White, Brent C.; Davis, S. Scott; Sweeney, John F.; Lee, Edward

doi:10.1007/s11605-008-0737-y

Cited by 197 publications

(143 citation statements)

References 12 publications

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“…However, embryonic natural orifice transumbilical endoscopic surgery 3) , transumbilical single -port surgery (TSPS) 4) and single incision laparoscopic surgery (SILS) 5,6) , with the advancement of laparoscopic surgery, have been reported. The umbilicus has thus been evaluated as an embryonic natural orifice.…”

Section: Discussionmentioning

confidence: 99%

Anticipation of umbistoma in laparoscopic anterior rectal resection: Ileostomy and ostomy closure

Hada

Hayashi

Sawada

et al. 2018

J Anus Rectum Colon

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Abstract:Objective: The use of laparoscopic surgery for rectal disease is expected to provide good cosmetic benefits for patients postoperatively. However, this expectation is significantly reduced when a diverting ileostomy is created. We present a new technique that reduces the size of the skin wound by constructing a diverting ileostomy in the umbilicus. This procedure, diverting umbilical ileostomy (umbistoma) does not require special tools for its construction and closure. Methods: Twenty-nine patients underwent treatment with umbilical diverting stoma, including five women and 24 men, with a mean age of 70 years (range: 40-88 years). At the time of ostomy closure, a new umbilicus was formed by subcutaneously suturing the wound to the fascia. In addition, we did not close the new umbilical upper and lower spaces, so as to allow open drainage of the healing wound. Results: All procedures were completed successfully without any perioperative complications. Conclusions: Our findings suggest that the umbilical diverting stoma could provide improved safety and cosmetic advantages in laparoscopic rectal resection.

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Section: Discussionmentioning

confidence: 99%

Anticipation of umbistoma in laparoscopic anterior rectal resection: Ileostomy and ostomy closure

Hada

Hayashi

Sawada

et al. 2018

J Anus Rectum Colon

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“…Other techniques have emerged in the literature in the form of small case series [12][13][14][15]. As this new platform develops, variations in technique will emerge.…”

Section: Discussionmentioning

confidence: 99%

Single-port-access (SPATM) cholecystectomy: a multi-institutional report of the first 297 cases

et al. 2010

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Background An important aspect of a new surgical technique is whether it can be performed by other surgeons in other institutions. The authors report the first 297 cases in a multi-institutional and multinational review of laparoscopic cholecystectomy performed via a single portal of entry. Methods Data were collected retrospectively for the initial patients undergoing single-port cholecystectomy by 13 surgeons who performed these procedures in their institutions after training by the authors. The review included operative time, blood loss, incision length, length of hospital stay (LOS), necessary additional trocars, and other parameters important to cholecystectomy. A database of all the single-port-access (SPA) surgeries performed by the surgeons included demographic and procedural details, LOS, complications, and initial follow-up data. Results To date, 297 single-port cholecystectomies have been performed for a variety of diagnoses, primarily cholelithiasis. The average operative time was 71 min, and the average LOS was 1-2 days. The average blood loss was minimal. The use of additional port sites outside the umbilicus occurred in 34 of the cases. Of the 35 intraoperative cholangiograms performed, 34 were successful. No significant complications occurred except for seromas and minor postoperative wound infections. These results are comparable with those for standard multiport cholecystectomy. In addition, no access site hernias (ASH) occurred. SPATM is a Trademark

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“…Many procedures such as (2,(10)(11)(12)(13)(14). The fi rst SILS practice in the world has been performed in our clinic (7).…”

Section: Discussionmentioning

confidence: 99%

Single Incision Laparoscopic Splenectomy. Our First Experiences.

Barbaros¹,

Sümer²,

Dinççağ³

et al. 2009

TUTFD

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Transumbilical Gelport Access Technique for Performing Single Incision Laparoscopic Surgery (SILS)

Cited by 197 publications

References 12 publications

Anticipation of umbistoma in laparoscopic anterior rectal resection: Ileostomy and ostomy closure

Anticipation of umbistoma in laparoscopic anterior rectal resection: Ileostomy and ostomy closure

Single-port-access (SPATM) cholecystectomy: a multi-institutional report of the first 297 cases

Single Incision Laparoscopic Splenectomy. Our First Experiences.

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