Single-Access Transumbilical Laparoscopic Nissen Fundoplication Performed With New Curved Reusable Instruments

Dapri, Giovanni; Bruyns, Jean Andre; Himpens, Jacques; Cadière, Guy-Bernard

doi:10.1177/1553350610384406

Cited by 9 publications

(13 citation statements)

References 14 publications

(15 reference statements)

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“…Publication year ranged from 2010[11] to 2016[14,30]. Although initial references consisted of case reports[11,12,18,23,27,29], subsequent trials included retrospective[14,19-22,24-26,30,31] and prospective[17,32] studies. All eligible trials were performed in a single institution.…”

Section: Resultsmentioning

confidence: 99%

“…Despite the fact that, in the majority of the included studies (Table 3), a commercial SP device, such as SILS™[11,18-22], Triport Plus™[32], Wrapdisk™[28], X-CONE[19], or EZ Access™[14], was applied, several trials[12,14,19,20,23,25,29,32] reported the introduction of conventional or low profile trocars through a single abdominal incision. In most operations[14,21,22,25,28,30], conventional laparoscopic instruments were used.…”

Section: Resultsmentioning

confidence: 99%

“…In most operations[14,21,22,25,28,30], conventional laparoscopic instruments were used. However, the application of articulating[11,12,18,21,27,32] or curved[23] instruments has, also, been described. Heterogeneity in terms of the liver retraction method was identified.…”

Section: Resultsmentioning

confidence: 99%

“…Heterogeneity in terms of the liver retraction method was identified. Several techniques, such as, the use of forceps[14], graspers[23], retractors[11,17,19,20,24,32], drains[28,29] or even glue[25], have been documented for the elevation and displacement of the liver left lobe. In the larger part of the included trials[11,12,14,17,18,20,22,25,27,32], commercial energy devices were applied for tissue dissection.…”

Section: Resultsmentioning

confidence: 99%

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Single incision laparoscopic fundoplication: A systematic review of the literature

Perivoliotis

Sarakatsianou

Tepetes

et al. 2019

WJGS

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BACKGROUND Fundoplication, was first introduced as a surgical treatment method of gastroesophageal reflux disease. Consequently, several modifications of this method have been described, whereas laparoscopic fundoplication was recently introduced. Although single incision (SI) fundoplication was considered as an alternative to the conventional laparoscopic approach, several studies reported an increased operation duration, and high rates of multiport conversion and incisional hernia. AIM To provide a current overview of the technical variations and the postoperative outcomes of patients submitted to SI fundoplication. METHODS The present systematic review of the literature was designed and conducted on the basis of the PRISMA guidelines. A systematic screening of the electronic scholar databases (Medline, Scopus and Web of Science) was performed. RESULTS Literature search resulted in the identification of 19 studies. Overall, 266, 137 and 110 SI Nissen, Dor and Toupet fundoplications were reported, respectively. In the majority of the trials, standard laparoscopic instruments were used. The left liver lobe was displayed through the use of forceps, graspers, retractors, drains or even glue. Both intra-corporeal and extracorporeal suturing was described. Mean operative time was 136.3 min. Overall complication rate was 5.2% and the rate of incisional hernia was 0.9%. No mortality was reported. CONCLUSION Due to the methodological heterogeneity and the lack of high quality studies comparing multi to single access techniques and the several variations, we conclude that further well designed studies are necessary, in order to evaluate the role of SI fundoplication.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Single incision laparoscopic fundoplication: A systematic review of the literature

Perivoliotis

Sarakatsianou

Tepetes

et al. 2019

WJGS

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“…Sus aplicaciones actuales se han extendido a un sinnúmero de procedimientos más complejos como: colectomía [26][27][28][29][30][31] , nefrectomía [32][33][34] , cirugía antirrefl ujo 35,36 , esplenectomía 37,38 , histerectomía 39,40 , hepatectomías 41 , etc. La cirugía bariátrica no ha sido ajena a estos avances, publicándose múltiples exitosas experiencias en banda gástrica ajustable (BGA) [42][43][44] y GM 12,15,16,18 .…”

Section: Discussionunclassified

Gastrectomía en manga transumbilical con técnica simplificada: técnica y resultados quirúrgicos en 100 pacientes

et al. 2012

Rev Chil Cir

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Simplifi ed transumbilical sleeve gastrectomy. Technique and surgical results in 100 patientsBackground: The use of transumbilical approach for sleeve gastrectomy has been recently reported, using different technique variations. Aim: To report the technique and surgical results of a transumbilical approach simplifi ed sleeve gastrectomy, using rigid instruments. Material and Methods: Ninety four women and six men, selected by a multidisciplinary team, underwent transumbilical sleeve gastrectomy. The operative technique involved a transumbilical incision, introduction of a SILS ® or GelPoint ® multiport, and a 5mm metallic accessory trocar laterally in the left fl ank. Rigid instruments were used in all patients. The greater curvature was dissected from 4-5 cm above the pylorus to the angle of His. Gastric transection was completed with a stapler, and calibrated with a 36 French tube advanced through the pylorus. Hemostasis of the staple line was carried out with metallic clips. A barium swallow was performed in ten randomly chosen patients, confi rming the correct tubular shape of the stomach. Results: Body mass index of operated patients ranged from 30 to 43 kg/m 2 . Mean operative time was 56.4 ± 16.7 minutes. During the early postoperative period, two patients had a hemoperitoneum, one had an antral leak and one had an intestinal perforation. No conversion to conventional laparoscopy or open technique was required. No patient died. The mean length of hospital stay was 2.3 ± 0.5 days. The cosmetic result was satisfactory for all patients. Conclusions: Transumbilical sleeve gastrectomy is a safe and feasible procedure with the reported technique. The insertion of an accessory 5mm trocar in the left fl ank simplifi es the procedure, allowing the use of rigid instruments.

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Single-Access Laparoscopic Approach for Gastric Surgery (Hiatal Hernia Repair and Gastric Resections)

Dapri

Cadière

2014

Single-Access Laparoscopic Surgery

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Single-Access Transumbilical Laparoscopic Nissen Fundoplication Performed With New Curved Reusable Instruments

Abstract: SALN is feasible to be performed with curved reusable instruments, which avoid the conflict between the instruments' tips inside the abdomen or between the surgeon's hands outside. Cost of the procedure remains similar to standard laparoscopy because only reusable material is used.

Cited by 9 publications

References 14 publications

Single incision laparoscopic fundoplication: A systematic review of the literature

Single incision laparoscopic fundoplication: A systematic review of the literature

Gastrectomía en manga transumbilical con técnica simplificada: técnica y resultados quirúrgicos en 100 pacientes

Single-Access Laparoscopic Approach for Gastric Surgery (Hiatal Hernia Repair and Gastric Resections)

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