Single incision approach for splenic diseases: a preliminary report on a series of 8 cases

Targarona, Eduardo M.; Pallares, José Luis; Balagué, Carmen; Luppi, Carlos Rodriguez; Marinello, Franco; Hernández, Pilar; Martínez, Carmen Rodríguez; Trías, Manuel

doi:10.1007/s00464-010-0940-2

Cited by 61 publications

(50 citation statements)

References 13 publications

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“…To date, single-incision laparoscopic appendectomy [35], colectomy [36], adrenalectomy [37], splenectomy [38], sleeve gastrectomy [39], gastric bypass [40], fundoplication, and Heller myotomy (unpublished data) have been performed. These procedures seem to be feasible; their safety, however, has yet to be determined.…”

Section: Discussionmentioning

confidence: 99%

Single-incision laparoscopic cholecystectomy: a systematic review

2010

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Section: Discussionmentioning

confidence: 99%

Single-incision laparoscopic cholecystectomy: a systematic review

2010

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“…[3][4][5][6] Since the initial descriptions of singleport surgery in the field of gynecology, this approach has grown in use in a number of other surgical disciplines. [7][8][9][10][11][12][13] The first single-port procedure in general surgery can be traced back to Navarra and colleagues 14 who described a transumbilical cholecystectomy in 1997. This novel approach was used and described for resection of the right colon by both Bucher et al 15 and Remzi et al 16 …”

mentioning

confidence: 99%

Single-Port Laparoscopic Right Hemicolectomy: A Safe Alternative to Conventional Laparoscopy

Waters

Guzman

Fajardo

et al. 2010

Diseases of the Colon &Amp; Rectum

101

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These findings support single-port right colectomy as a safe and efficacious approach to right colon resections in patients eligible for laparoscopy with minimal additional equipment or learning curve for experienced laparoscopic colorectal surgeons. The single port was undertaken without an increase in morbidity or mortality. There was no increase in operative time with use of the single-port approach. Finally, adequate lymph node harvest and margin clearance was maintained.

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“…[11][12][13] Among the above-mentioned methods, single-port cholecystectomy appears to be gaining clinical significance with numerous reports in the recent literature. [14][15][16][17][18] Besides this enthusiasm, single-port cholecystectomy is associated with technical limitations due to the enhanced complexity of the approach and limited number of specialized instruments or platforms. 19 Using conventional laparoscopic instruments for a single-port or single-incision approach leads to collisions and reduction of triangulation.…”

Section: Introductionmentioning

confidence: 99%

Robotic Single-Port Cholecystectomy Using a New Platform: Initial Clinical Experience

Morel

Hagen

Bucher

et al. 2011

Journal of Gastrointestinal Surgery

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Background The technique of single-port laparoscopy was developed over the past years in an attempt to reduce the invasiveness of surgery. A reduction of incisions and their overall size might result in enhanced postoperative cosmesis and potentially reduce pain when compared to conventional techniques. While manual single-port laparoscopy is technically challenging, a newly approved robotic platform used with the da Vinci Si System (Intuitive Surgical, Sunnyvale, CA, USA) might overcome some of the difficulties of this technique. Methods Patients with cholelithiasis were scheduled for robotic single-port cholecystectomy in an initial clinical trial. Demographic data, intra-and short-term postoperative results were assessed prospectively. Results Twenty-eight patients (22 females/6 males; median age, 48 years) underwent robotic single-port cholecystectomy in our first week of clinical cases. Median OR time was 80 min with a median docking time of 8 min and median robotic console time of 53 min. Two patients underwent intraoperative cholangiography. Eight cases presented with adhesions, tissue alterations, or anatomical abnormalities. No conversions, intra-or postoperative complications occurred. Conclusion Robotic single-port cholecystectomy appears feasible and safe in our early experience. The robotic approach to single-port surgery seems to overcome some of the technical difficulties of manual single-port surgery. This robotic platform may facilitate completion of more complex cases.

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Single incision approach for splenic diseases: a preliminary report on a series of 8 cases

Abstract: SILS access can be safely used for operative visualization, hilum transection, and spleen removal, further reducing parietal wall trauma. The definitive clinical, esthetic, and functional advantages require further analysis.

Cited by 61 publications

References 13 publications

Single-incision laparoscopic cholecystectomy: a systematic review

Single-incision laparoscopic cholecystectomy: a systematic review

Single-Port Laparoscopic Right Hemicolectomy: A Safe Alternative to Conventional Laparoscopy

Robotic Single-Port Cholecystectomy Using a New Platform: Initial Clinical Experience

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