Transumbilical Laparoscopic Cholecystectomy Utilizes No Incisions Outside the Umbilicus

Piskun, Gregory; Rajpal, Sanjeev

doi:10.1089/lap.1999.9.361

Cited by 398 publications

(264 citation statements)

References 7 publications

Supporting

Mentioning

258

Contrasting

Unclassified

Order By: Relevance

“…A number of techniques have been devised since 1995 [8] and single incision transumbilical laparoscopic cholecystectomy was first published in 1999 [9]. SPS requires laparoscopic expertise and special laparoscopic instruments which raises the question whether this technique is superior to CLC, justifying its utilization.…”

Section: Discussionmentioning

confidence: 99%

Single Port vs. Four Port Cholecystectomy – Randomized Trial on Quality of Life

Sulu¹,

Yildiz²,

Ilingi³

et al. 2015

Adv Clin Exp Med

View full text Add to dashboard Cite

Background. Classical laparoscopic cholecystectomy involves four ports while most novel 'single port' technique only requires one incision on the abdominal wall. This technique is thought to decrease surgical trauma and improve cosmesis although there are reports pointing out that classical laparoscopic cholecystectomy is also feasible in terms of cosmesis. Objectives. In this study we tried to determine if there are certain advantages in quality of life after single port surgery which would justify its utilization instead of classical laparoscopic cholecystectomy. Material and Methods. This is a prospective randomized study which enrolled 30 patients randomized either into classical laparoscopic cholecystectomy or single port surgery. The primary endpoint was patient satisfaction after surgery. This was assessed with short form 36 and gastrointestinal quality of life index (first preoperatively and then 3 months postoperatively) and a visual analogue scale on the first and seventh days. Results. There was not a statistically significant difference between groups in the emotional role, social functions, mental health, vitality and general health subscales of short form 36. At the end of 12 weeks, both groups demonstrated increases in the gastrointestinal and social subscales of the gastrointestinal quality of life index. There was not a statistically significant difference between groups when the visual analogue scale scores on first and seventh days were compared. Conclusions. The equal length of hospitalization, patient quality of life and pain perception and the longer operative times, high likelihood of incisional hernia and surgical site infection call into question the utilization of single port surgery, as it does not seem to confer an advantage over classical laparoscopic cholecystectomy (Adv Clin Exp Med 2015, 24, 3, 469-473).

show abstract

Section: Discussionmentioning

confidence: 99%

Single Port vs. Four Port Cholecystectomy – Randomized Trial on Quality of Life

Sulu¹,

Yildiz²,

Ilingi³

et al. 2015

Adv Clin Exp Med

View full text Add to dashboard Cite

show abstract

“…12,13 This technique uses a single skin and fascial incision for placement of ports. Advances in surgical techniques and instruments, such as multichannel singleaccess ports, novel articulating instruments and thin flexible laparoscopic cameras, have allowed the integration of LESS in urologic surgery.…”

Section: Discussionmentioning

confidence: 99%

Laparo-endoscopic Single Site Surgery in Pediatrics: Feasibility and surgical outcomes from a preliminary prospective Canadian experience.

Khambati

Wehbi

Farhat

2015

CUAJ

View full text Add to dashboard Cite

Introduction: Laparo-endoscopic single-site surgery (LESS) is becoming an alternative to standard laparoscopic surgery. Proposed advantages include enhanced cosmesis and faster recovery. We assessed the early post-operative surgical outcomes of LESS surgery utilizing different instruments in the pediatric urological population in Canada. Methods: We prospectively captured data on all patients undergoing LESS at our institution between February 2011 and August 2012. This included patient age, operative time, length of stay, complications and short-term surgical outcomes. Different instruments/devices were used to perform the procedures. Access was achieved through a transumbilical incision. Results: A total of 16 LESS procedures were performed, including seven pyeloplasties, four unilateral and one bilateral varicocelectomies, two simple nephrectomies, one renal cyst decortication and one pyelolithotomy. There was no statistical difference in the operative times, hospital length of stay and cost (pyeloplasty only) in patients undergoing pyeloplasty and varicocelectomy using the LESS technique when compared to an age matched cohort of patients managed with the traditional laparoscopic approach. One pyeloplasty in the LESS group required conversion to open due to a small intra-renal pelvis. There were no immediate or short term post-operative complications; however, one patient experienced a decrease in renal function status post LESS pyeloplasty. Since all procedures were performed by a vastly experienced surgeon at a tertiary center, the generalizability of the results cannot be assessed. Conclusions: There are only a few series that have assessed the role of LESS in pediatric urological surgery. Although our experience is limited by a heterogeneous group of patients with a short follow-up period, the present cohort demonstrates the safety and feasibility of LESS. Further evaluation with randomized studies is required to better assess the role of LESS in pediatric urology.

show abstract

“…Piskun and Rajpal used the multiple puncture method to perform laparoscopic cholecystectomy [5]. However, multiple fascial puncture may lead to skin maceration and fascial tear, and further complicate wound healing [1].…”

Section: Discussionmentioning

confidence: 99%

Improvised Transumbilical Glove Port: A Cost Effective Method for Single Port Laparoscopic Surgery

Khiangte¹,

Newme²,

Phukan³

et al. 2010

Indian J Surg

View full text Add to dashboard Cite

Innovations in technology has changed the traditional laparoscopy to be less invasive. Singleport transumbilical laparoscopy has emerged to enhance the cosmetic benefits and to decrease the morbidity of the minimally invasive surgery. It has further minimized the minimally invasive surgery. However, this technique requires a specialized multichannel port (for introducing laparoscope and instruments) which is very costly and in fact, is not affordable by the majority of the population in a developing country like India. We have improvised a single-port access system using readily available materials like surgical gloves, towel ring, inner flexible ring and conventional laparoscopic trocars with no added cost burden to the patient. We have performed 40 single port surgeries using this method without any complications.

show abstract

Transumbilical Laparoscopic Cholecystectomy Utilizes No Incisions Outside the Umbilicus

Cited by 398 publications

References 7 publications

Single Port vs. Four Port Cholecystectomy – Randomized Trial on Quality of Life

Single Port vs. Four Port Cholecystectomy – Randomized Trial on Quality of Life

Laparo-endoscopic Single Site Surgery in Pediatrics: Feasibility and surgical outcomes from a preliminary prospective Canadian experience.

Improvised Transumbilical Glove Port: A Cost Effective Method for Single Port Laparoscopic Surgery

Contact Info

Product

Resources

About