Early surgeon impressions and technical difficulty associated with laparoendoscopic single-site surgery: a Society of American Gastrointestinal and Endoscopic Surgeons learning center study

Islam, Arsalla; Castellvi, Antonio O.; Tesfay, Seifu T.; Castellvi, Alejandro D.; Wright, Andrew S.; Scott, Daniel J.

doi:10.1007/s00464-011-1594-4

Cited by 57 publications

(35 citation statements)

References 21 publications

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“…To date, surgeons' perception about SILS and NOTES have been reported in a few studies; however, this is the first study about Turkish surgeons' current status of experience and perception about SILS (3,(11)(12)(13).…”

Section: Discussionmentioning

confidence: 93%

“…As the experience about SILS grows rapidly, many surgeons who were performing SILS suggest that it is not difficult to learn (14,15). In previous surveys, surgeons' main concern about advanced minimal invasive approaches (SILS or NOTES) was procedure related risk, and most surgeons stated that if this procedure reaches desirable levels of safety similar to conventional laparoscopy, they would choose to undergo a SILS or NOTES procedure for themselves (3,(11)(12)(13). Also, there were much more data about patients' perception in the preoperative period.…”

Section: Discussionmentioning

confidence: 99%

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Turkish surgeons’ experiences and perception about single-incision laparoscopic surgery

Aktimur

Çetinkünar

Yıldırım

2016

UCD

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Objective: We aimed to show Turkish surgeons' current status of experience and perception about single-incision laparoscopic surgery. Material and Methods:The experience and perception of general surgeons, who were members of the Turkish Surgical Association (3.5%, 116/3312), about single-incision laparoscopic surgery were analyzed according to demographic characteristics and a self-report questionnaire with the following four domains: surgeons' perception regarding the performance of single-incision laparoscopic surgery in their clinical practice; their experience of laparoscopic surgery; education, experience, and attitude for single-incision laparoscopic surgery; and the reason for performing/ not performing single-incision laparoscopic surgery in their practice.Results: There were no significant factors affecting Turkish surgeons' preference of surgical approach. Although, most surgeons performing single-incision laparoscopic surgery were educated (72.2%), the dominant factor driven them to perform this surgery seemed to be personal achievement and satisfaction (57%). Most surgeons who did not perform single-incision laparoscopic surgery were not interested to do so and considered it unnecessary (62.1%). In addition, the need for special equipment and training were dominant barriers (61%). Conclusion:It seems that Turkish surgeons' perception to perform single-incision laparoscopic surgery was more related to their personal achievement and satisfaction.Key Words: Perception, surgeon, single-incision laparoscopic surgery INTRODUCTIONEver since the advantage of minimal invasive surgery was proved in the era of surgery, a number of procedures have been performed laparoscopically. Beside the wide acceptance of laparoscopy as a primary approach for a number of surgical problems, for some procedures such as cholecystectomy, fundoplication, and adrenalectomy, it was accepted as "gold standard treatment. " In addition to wellknown advantages such as less blood loss, shorter hospital stay, enhanced recovery, and decreased complication rate, today, more complex oncological procedures are performed laparoscopically with a reliable level of efficacy and safety (1). The rapid development of minimal invasive surgery has led surgeons to advance its cosmetic benefits to the patients. Scarless surgery concept was developed from this point. For this purpose, reducing port number, applying mini-instruments, and using natural orifices were implemented for current surgical practices. Over time, application of natural orifice translumenal endoscopic surgery (NOTES) in humans remain limited, because of a lack of surgical ergonomics and the perception of patients and surgeons (2, 3). Laparoscopy with mini-instruments still being performed in some centers with the limitation of the need for special equipment. Today, the port reduction concept of advanced laparoscopic surgery is commonly accepted as single-incision laparoscopic surgery (SILS). With SILS, most of the expected benefits are successfully provided to patients. However, in...

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Turkish surgeons’ experiences and perception about single-incision laparoscopic surgery

Aktimur

Çetinkünar

Yıldırım

2016

UCD

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“…However, the major drawback to such a surgical approach is that the concept of ''triangulation'' to which laparoscopic surgeons have grown accustomed in terms of both the instruments and scope is lacking [6,10]. This dogmatic principle of laparoscopic surgery is necessary for appropriate operative exposure and entails an ergonomically favorable position for the surgeon and assistants.…”

Section: Discussionmentioning

confidence: 99%

“…A reduced capacity for triangulation is the most outstanding issue, with its imposed need to operate sometimes with crossed hands [10]. Furthermore, the repeated conflicts between the shafts of the instruments and the difficulty of achieving a correct exposure and the necessary traction to tissues without a supplementary instrument are also the major problems [10].…”

Section: Introductionmentioning

confidence: 99%

Single-incision laparoscopic colectomy: technical aspects and short-term results

et al. 2011

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Single-incision laparoscopic surgery (SILS) is currently regarded as the next major advance in the progress of minimally invasive techniques in colorectal surgery. We describe our initial experience using SILS for the management of colorectal disease and present preliminary short-term results. Between February 2010 and April 2011, 7 patients (4 females and 3 males, mean age 55 years, range 32-74) underwent SILS for either benign or malignant colorectal disease. Preoperative diagnosis was diverticular disease of the sigmoid colon in two patients, malignant polyps of the sigmoid colon in two other patients and large villous tumor of the right colon in three patients. Surgical procedures, 4 anterior resections of the rectum and 3 right hemicolectomies, were performed through a 3 cm single umbilical incision using a SILS multi port device with conventional or articulated laparoscopic instruments. There were no intraoperative complications or conversions in the standard laparoscopic procedure. The mean operative time for anterior resections was 160.0 ± 10.6 min, whereas it was 160.6 ± 20 for right hemicolectomies. Blood loss was minimal. No postoperative complications were reported in any of the patients. The overall mean hospital stay was 4.8 ± 0.2 days (range 4-5). For the subset of patients with malignant or pre-malignant disease, the mean number of retrieved lymph nodes was 15.6 ± 4.4 (range 6-31). Cosmetic results were considered excellent by all the patients after 15 days. In conclusion, our preliminary experience shows that SILS for colorectal disease is feasible and safe with potential reproducible oncologic results.

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“…The skills required for SILS are different from those needed in conventional multiport laparoscopy, even for experienced laparoscopic surgeons [15]. The handling of straight instruments in parallel with the laparoscope through a small single incision decreases the freedom of movement for the surgeon, and complicates the holding of the laparoscope for the assistant and instruments for the surgeon.…”

Section: Technical Aspects Of Silsmentioning

confidence: 99%

Single-Incision Laparoscopic Colectomy: A New Era in the Treatment of Colorectal Cancer?

Cianchi¹,

Staderini²,

Badii³

2014

Colorectal Cancer - Surgery, Diagnostics and Treatment

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Early surgeon impressions and technical difficulty associated with laparoendoscopic single-site surgery: a Society of American Gastrointestinal and Endoscopic Surgeons learning center study

Cited by 57 publications

References 21 publications

Turkish surgeons’ experiences and perception about single-incision laparoscopic surgery

Turkish surgeons’ experiences and perception about single-incision laparoscopic surgery

Single-incision laparoscopic colectomy: technical aspects and short-term results

Single-Incision Laparoscopic Colectomy: A New Era in the Treatment of Colorectal Cancer?

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