medigraphic.com
ISSN 1665-2576 (Print)

2010, Number 4

<< Back Next >>

Rev Mex Cir Endoscop 2010; 11 (4)

Endosuturing and single-portlaparoscopic surgery

Dávila ÁF, Dávila ÁU, Heredia AV, Ceja SM, Gómez AA, Dávila ÁMR, Sandoval RJ

Language: Spanish
References: 12
Page: 192-204
PDF size: 158.86 Kb.


ABSTRACT

It presents a line of sutures to be used in 1-port laparoscopic surgery, which allow haemostasis, union, approximation, traction and triangulation of the tissues replacing clips, assistance ports and laparoscopic instruments, in order to improve aesthetic and functional results. From December 1997 to December 2010, we have reviewed prospective, longitudinal, 2696 patients operated of different diseases with 1-Port Laparoscopic Surgery, by a same surgical group. Polypropylene or nylon endosutures, of variable length, with straight and curved needles were used. Initially performed in homemade and currently under commercial manufacturing. The endosutures efficiently replaced clips, assistance ports and laparoscopic instruments, allowing the successful completion of various surgical procedures, improving the aesthetic and functional results without 3 to 4 ports and 5-10 mm laparoscopic instruments. We conclude that the use of endosutures in Laparoscopic Surgery with 1 Port has proved over the years to be useful in a wide range of procedures, allowing better aesthetic and functional results than traditional laparoscopic surgery.


REFERENCES

  1. Pérez CJ. Los retos a vencer en cirugía laparoscópica. Cirujano General 1998; 20: 126-127.

  2. Cushieri A. La cirugía laparoscópica en Europa: ¿Hacia dónde vamos? Cir Esp 2006; 79: 10-21.

  3. Misawa K, Hachisuka T, Kuno Y et al. New procedure for purse-string suture in thoracoscopic esophagectomy with intrathoracic anastomosis. Surg Endosc 2005; 19: 40-42.

  4. Spray SD, Nolan JP. Endo-Stitch: suturing instrument intra-corporeal knot tying manual. Norwalk, CT: Auto Suture Company, 1994.

  5. Heredia JNM. Pinza endoscópica multiusos. Cirugía de invasión mínima. 2ª Edición, Intersistemas, México, 1997: 106-11.

  6. Dávila AF. Colecistectomía laparoscópica tradicional con pinza multiusos. Cirugía sin huella. 1ª Edición. UNAM Fes Iztacala/AMCE México 2002: 39-44.

  7. Dávila F, Dávila U, Montero J, Lemus J, López AX. Colecistectomía laparoscópica con 1 solo puerto visible subxifoideo de 5 mm. Rev Mex Cir Endosc 2001; 2: 16-20.

  8. Dávila AF. Cirugía sin huella. 1ª Edición. UNAM FES Iztacala/AMCE 2002.

  9. Zucker K, Tabb R, Dorsey J. Laparoscopic suturing and knot tying. In: Zucker K. Surgical laparoscopy. 2nd edition Lippincott Williams & Wilkins 2001: 77-88.

  10. ETHICON Wound Closure Manual. www.scribd.com/doc/7826303/suturas

  11. Domínguez G. Colecistectomía con un trócar. Asistida con imanes de neodimio. Reporte de un caso. Rev Asoc Mex de Cir Endosc 2007; 8: 172-176.

  12. Domínguez G, Durand L, De Rosa J, Danguise E, Ferraina P. Retraction and triangulation with neodymium magnetic forceps for single port laparoscopic cholecystectomy. Surg Endosc 2009; 23: 1660-1666.




2020     |     www.medigraphic.com