A Prospective Randomized Comparison of Traditional Laparoendoscopic Single-Site Surgery with Needlescopic-Assisted Laparoscopic Nephrectomy in the Porcine Model

Nicolay, Lesli I.; Bowman, Ryan; Heldt, Jonathan P.; Jellison, Forrest; Mehr, Neda; Tenggardjaja, Christopher; Millard, William J.; Koning, Jeffrey L.; Baldwin, D. Duane

doi:10.1089/end.2010.0623

Cited by 13 publications

(8 citation statements)

References 23 publications

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“…Several groups are currently using needlescopic instruments to achieve positive cosmetic results. 12,13 Most currently available ports are single-use platforms and are very costly. 14 In addition, modified scopes and highly specialized instruments are required to conduct LESS surgery.…”

Section: Introductionmentioning

confidence: 99%

Cost Effective Laparoendoscopic Single-Site Surgery with a Reusable Platform

Schwentner

Todenhöfer²,

Seibold³

et al. 2013

JSLS

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Section: Introductionmentioning

confidence: 99%

Cost Effective Laparoendoscopic Single-Site Surgery with a Reusable Platform

Schwentner

Todenhöfer²,

Seibold³

et al. 2013

JSLS

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“…Unfortunately, MLS has certain disadvantages that may cause the prolonging of total operation time, suboptimal vision, loose grasping, weak manipulation defective irrigation or suction, difficulty during dissection and development of anatomical spaces and decreased instrument durability [4]. Nevertheless, several investigations in the field of gynecologic and non-gynecologic surgery suggest that downsizing abdominal ports allows equal or better surgical results compared with standard laparoscopic procedures [3, 16, 17]. In addition, the use of small-diameter laparoscopes and instruments was feasible with low carbon dioxide pressures [18], thereby reducing possible complications related to pneumoperitoneum.…”

Section: Discussionmentioning

confidence: 99%

Mini-Laparoscopic Versus Conventional Laparoscopic Surgery for Benign Adnexal Masses

Gençdal

Aydoğmuş

et al. 2017

J Clin Med Res

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BackgroundMinimally invasive endoscopic surgery has become an acceptable method for gynecologic indications for more than 20 years. We aimed to compare clinical and surgical outcomes between mini-laparoscopic surgery (MLS) and conventional laparoscopic surgery (CLS) for benign adnexal masses. As far as we know, no comparative study exists between these two minimal invasive procedures.MethodsDuring the period between January 2014 and December 2016, a total number of 132 laparoscopic surgeries were performed for bening adnexal masses in our clinic. Seventy women underwent CLS and 62 women underwent MLS. Pathological results and operating time of procedures, estimated blood loss, preoperative and postoperative complications, patient scale and observer scale (POSAS) and length of hospital stay were recorded.ResultsThere was no difference between the two groups regarding preoperative diagnosis, intraoperative surgical procedure performed, and length of hospital stay. The groups were compared in terms of postoperative pathological diagnosis using the Chi-square test, and there was a statistically significant difference between the two groups. Comparing the operation time and hematocrit change, there were statistically significant differences between the two groups. Both patient and observer PSOAS scar scores were better in MLS group (P < 0.05).ConclusionsMini-laparoscopy can be safely and effectively used to perform benign adnexal mass surgery.

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“…Minor improvements might be seen in new mechanisms for control of rotation and articulation (e.g., automated instruments). However, we believe that widespread use of this approach will rather depend on further development of SILS techniques such as single-incision triangulated umbilical surgery (SITUS) [9] or combined approaches (i.e., using an additional mini-port [10] or a robot-assisted device) [11].…”

Section: Discussionmentioning

confidence: 99%

Pre-bent instruments used in single-port laparoscopic surgery versus conventional laparoscopic surgery: comparative study of performance in a dry lab

et al. 2012

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Although SILS is feasible, as shown in clinical series published by laparoscopically experienced experts, SILS techniques are demanding due to restrictions that come with the loss of triangulation. These can be compensated only partially by currently available SILS-designed instruments. The future of SILS depends on further improvements in the available equipment or the development of new approaches such as needlescopically assisted or robotically assisted procedures.

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A Prospective Randomized Comparison of Traditional Laparoendoscopic Single-Site Surgery with Needlescopic-Assisted Laparoscopic Nephrectomy in the Porcine Model

Abstract: The addition of a 2-mm subcostal port and the restoration of triangulation in the NAL protocol enable shorter operative times, increased surgeon comfort, improved technical ease, and lower costs while maintaining the scarless cosmesis of the traditional LESS protocol.

Cited by 13 publications

References 23 publications

Cost Effective Laparoendoscopic Single-Site Surgery with a Reusable Platform

Cost Effective Laparoendoscopic Single-Site Surgery with a Reusable Platform

Mini-Laparoscopic Versus Conventional Laparoscopic Surgery for Benign Adnexal Masses

Pre-bent instruments used in single-port laparoscopic surgery versus conventional laparoscopic surgery: comparative study of performance in a dry lab

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