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2013 | 85 | 2 | 73-77
Tytuł artykułu

Application of the Single Access Technique in Laparoscopic Surgery

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Laparoscopic single access technique is a next step in development of minimally invasive surgery. The aim of the study was to present results of different laparoscopic single incision procedures and evaluate application of this technique. Material and methods. 102 patients (15 males and 87 females) who underwent laparoscopic single incision procedure from 15th October 2009 to 31st December 2012 were included in the study. Results. In the analyzed period we performed 72 cholecystectomies (70.6%), 8 left adrenalectomies (7.8%), 3 right adrenalectomies (2.9%), 7 splenectomies (6.9%), 5 spleen cysts unroofings (4.9%), 2 appendectomies (2%), 1 Nissen fundoplication procedure (1%), 1 removal of the adrenal cyst (1%) and 3 concomitant splenectomies and cholecystectomies (2.9%). There were 3 technical conversions to multiport laparoscopy, but no conversion to open technique. Complications were observed in 5 patients (4.9%). Average operation time was 79 min (SD=40), average hospitalization time 2.4 day (SD=1.4). Conclusions. Laparoscopic single incision technique is a safe method and can be used as a reasonable alternative to multiport laparoscopy in different minimally invasive procedures especially in young patients to whom an excellent cosmetic effect is particularly important.
Słowa kluczowe
Wydawca

Rocznik
Tom
85
Numer
2
Strony
73-77
Opis fizyczny
Daty
wydano
2013-02-01
online
2013-03-22
Twórcy
  • 2nd Department of General Surgery of the Jagiellonian University Medical College in Cracow
  • 2nd Department of General Surgery of the Jagiellonian University Medical College in Cracow
  • 2nd Department of General Surgery of the Jagiellonian University Medical College in Cracow
  • 2nd Department of General Surgery of the Jagiellonian University Medical College in Cracow
  • 2nd Department of General Surgery of the Jagiellonian University Medical College in Cracow
  • 2nd Department of General Surgery of the Jagiellonian University Medical College in Cracow
Bibliografia
  • 1. Strzałka M, Bobrzyński A: Laparoscopy in the treatment of acute abdominal diseases. WideochirInne Tech Malo Inwazyjne 2008; 3: 1-9.
  • 2. Strzałka M, Budzyński A, Bobrzyński A i wsp.: Analiza częstości i przyczyn konwersji w chirurgii małoinwazyjnej. Pol Przegl Chir 2009; 81(12): 648-54.
  • 3. Elazary R, Khalaileh A, Zamir G et al.: Singletrocar cholecystectomy using a flexible endoscope and articulating laparoscopic instruments: a bridge to NOTES or the final form? Surg Endosc 2009; 23: 969-72.[WoS][Crossref]
  • 4. Zhu JF : Which term is better: SILS, SPA, LESS, E-NOTES, or TUES? Surg Endosc 2009; 23: 1164-65.[Crossref][WoS][PubMed]
  • 5. Kravetz AJ , Iddings D, Basson MD, Kia MA.: The learning curve with single-port cholecystectomy. J Soc Laparoendosc Surg 2009; 13: 332-36.
  • 6. Kuon Lee S, You YK , Park JH et al.: Single-port transumbilical laparoscopic cholecystectomy: a preliminary study in 37 patients with gallbladder disease. J. Laparoendosc. Adv Surg Tech A, 2009; 19: 495-99.[WoS]
  • 7. Hernandez JM, Morton CA , Ross S et al.: Laparoendoscopic single site cholecystectomy: the first 100 patients. Am Surg 2009; 75: 681-685; discussion 685-86.
  • 8. Langwieler T.E, Nimmesgern T, Back M: Singleport access in laparoscopic cholecystectomy. SurgEndosc 2009; 23: 1138-41.
  • 9. Vemulapalli P, Agaba EA , Camacho D et al.: Single incision laparoscopic cholecystectomy: A single center experience. Int J Surg 2011;9(5):410-13.
  • 10. Prasad A, Mukherjee KA , Kaul S, Kaur M: Postoperative pain after cholecystectomy: Conventional laparoscopy versus single-incision laparoscopic surgery. J Minim Access Surg 2011; 7(1): 24-27.[PubMed]
  • 11. Rasić Z, Schwarz D, Nesek VA et al.: Single incision laparoscopic cholecystectomy - a new advantage of gall-bladder surgery. Coll Antropol 2010; 34(2): 595-98.
  • 12. Ito M, Asano Y, Horiguchi A et al.: Cholecystectomy using single-incision laparoscopic surgery with a new SILS port. J Hepatobiliary Pancreat Sci 2010; 17(5): 688-91.[WoS]
  • 13. Budzyński A, Pędziwiatr M, Matłok M et al.: Preliminary experience with transperitoneal single incision laparoscopic surgery adrenalectomy. Wideochir Inne Tech Malo Inwazyjne 2010; 5 (3): 87-92.
  • 14. Feinberg EJ , O’Connor DJ , Feinberg ML et al.: Single-incision laparoscopic appendectomy: an early experience. Am Surg 2011; 77(3): 286-89.
  • 15. Jacob BP, Tong W, Reiner M et al.: Single incision total extraperitoneal (one SITE) laparoscopic inguinal hernia repair using a single access port device. Hernia 2009; 13: 571-72.[Crossref][WoS]
  • 16. Barbaros U, Dinccag A: Single incision laparoscopic splenectomy: the first two cases. J GastrointestSurg 2009; 13: 1520-23.[Crossref]
  • 17. Varela JE : Single-site laparoscopic sleeve gastrectomy: preclinical use of a novel multi-access port device. Surgical Innovation 2009; 16: 207-10.[WoS][Crossref][PubMed]
  • 18. Merchant AM, Lin E: Single-incision laparoscopic right hemicolectomy for a colon mass. Dis ColonRectum 2009; 52: 1021-24.
  • 19. Froghi F, Sodergren MH, Darzi A, ParaskevaP: Single-incision Laparoscopic Surgery (SILS) in general surgery: a review of current practice. SurgLaparosc Endosc Percutan Tech 2010; 20(4): 191-204.
  • 20. Katsuno G, Fukunaga M, Nagakari K et al.: Single-incision laparoscopic colectomy for colon cancer: early experience with 31 cases. Dis ColonRectum 2011; 54(6): 705-10.
  • 21. Chow AG, Purkayastha S, Zacharakis E, ParaskevaP: Single-incision laparoscopic surgery for right hemicolectomy. Arch Surg 2011; 146(2): 183-86.[WoS]
  • 22. Huang CK : Single-incision laparoscopic bariatric surgery. J Minim Access Surg 2011; 7(1): 99-103.[PubMed]
  • 23. Seo IY , Lee JW, Rim JS : Laparoendoscopic single-site radical nephrectomy: a comparison with conventional laparoscopy. J Endourol 2011; 25(3): 465-69.[Crossref][PubMed]
  • 24. Ferrara V, Giannubilo W, Azizi B et al.: SILS extraperitoneal radical prostatectomy. MinervaUrol Nefrol 2010; 62(4): 363-69.
  • 25. Kim TJ , Lee YY , Kim MJ et al.: Single port access laparoscopic adnexal surgery. J Minim InvasiveGyn 2009; 16: 612-15.
  • 26. Langebrekke A, Qvigstad E: Total laparoscopic hysterectomy with single-port access without vaginal surgery. J Minim Invasive Gynecol 2009; 16: 609-11.[PubMed]
  • 27. Ponsky TA , Diluciano J, Chwals W et al.: Early experience with single-port laparoscopic surgery in children. J Laparoendosc Adv Surg Tech A 2009; 19: 551-53.
  • 28. Ergün O, Tiryaki S, Celik A: Single center experience in single-incision laparoscopic surgery in children in Turkey. J Pediatr Surg 2011; 46(4): 704-07.[PubMed][Crossref]
  • 29. Hao L, Liu M, Zhu H, Li Z: Single - incision versus Conventional Laparoscopic Cholecystectomy in Patients with Uncomplicated Gall-bladder Disease: A Meta-analysis. 2012; 22(6): 487-97.[PubMed]
  • 30. Trastulli S, Cirocchi R, Desiderio J et al.: Systematic review and meta-analysis of randomized clinical trials comparing single-incisionversus conventional laparoscopic cholecystectomy. Br J Surg 2013; 100: 191-208.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_pjs-2013-0013
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