González RV, Justo JJ, Santana DMD, González CM, Velázquez AJ, Valadez CD

Language: Spanish
References: 14
Page: 31-34
PDF size: 70.15 Kb.

ABSTRACT

Background: Despite the excellent results obtained with standard laparoscopic surgery continue efforts to minimize the number of ports required. Despite being commercially available platforms for single port surgery, little progress has been made in developing low-cost trocars and accessible for laboratory training. Methods: Experimental, longitudinal, prospective and comparative. Twenty pigs underwent laparoscopic cholecystectomy by a single port device UNIPORT^® and using conventional laparoscopic instruments. There were two groups: Group 1 (skilled surgeon) and Group 2 (surgeons in training). Variables assessed: time of device placement, operative time, intraoperative bleeding, rupture vesicular and injury to adjacent organs. Results: 20 cholecystectomies with a single port. Time of placement of the device: 1.6 vs 1.67 min (p 0757). Surgical time: 29.8 vs 105.8 min (p ‹ 0.0001) intraoperative bleeding: 10.5 vs 34.5 mL (p ‹ 0.0001) Rupture of Bladder: 20 vs 50% (p 0.159). Injury to adjacent organs: 20 vs 50% (p 0.159). Conclusion: This technology seems to be appropriate to ensure development of skills and abilities in a single port surgery through a device accessible and affordable.

REFERENCES

1. Seok YL, Yong TK, Hae YP, Tchum YL, Sung YP. Initial experience with laparoendoscopic single-site surgery by use of a homo mede transumbilical port in urology. Korean J Urol 2010; 51: 613-618.

2. Tai HC, Lin CD, Wu CC, Tsai YC, Yang SS. Homemade transumbilical port: an alternative access for laparoendoscopic single-site surgery (LESS). Surg Endosc 2010; 24: 705-8.

3. Jeong BC, Park YH, Han DH, Kin HH. Laparoendoscopic single-site and conventional laparoscopic adrenalectomy: a matched case-control study. J Endourol 2009; 23: 1957-60.

4. Schwaitzberg SD, Kochman ML, Hawes RH, Rattner DW. Natural orifice translumenal endoscopic surgery (NOTES): Is it time for introduction to clinical practice? Surgery 2009; 146: 841-42.

5. Chang YT et al. Technical refinements in single-port laparoendoscopic surgery of inguinal hernia in infants and children. Diag Ther Endosc 2010: 1-6.

6. Moreno SC, Noguero AJ, Herrero BM, Madandeira RA, Garcia LC, Tadeo RG, Cuadrado GA, Picazo YJ. Cirugía laparoscópica a través de incisión única. Cir Esp 2010; 88: 12-17.

7. Gutt CN, Muller BP, Reiter MA. Success and complication parameters for laparoscopic surgery: a benchmark for natural orifice translumenal endoscopic surgery. Endoscopy 2009; 41: 36-41.

8. Gill IS, Advicncula AP, Aron M, Caddedu J, Canes D, Curcillo PG et al. Consensus statement of the consortium for laparoendoscopic single-site surgery. Surg Endosc 2009 doi: 101007/s00464-009-0688-8.

9. Romenelli JR, Mark I, Omotosho PA. Single port laparoendoscopic cholecystectomy with the triport system: a case report. Surg Innov 2008; 15: 223-8.

10. Philipp SR, Miedema BW, Thaler K. Single-incision laparoscopic cholecystectomy using conventional instruments: early experience in comparation with the gold standard. J Am Coll Surg 2009; 209: 632-7.

11. Hernández JM, Morton CA, Ross S, Albrink M, Rosemurgy AS. Laparoendoscopic single-site cholecystectomy: the first 100 patients. Ann Surg 2009; 75: 681-5.

12. Tsimoyiannis CE, Tsimoyiannis EK, Pappas-Gongos G, Farantos C, Benatatos N, Mavridou P, Manaaki A. Different pain scores in single transumbilical incision laparoscopic cholecystectomy versus classic laparoscopic cholecystectomy: a randomized controlled trail. 2010; 24: 1842-1848.

13. Rattner D, Kalloo A. ASGE/SAGES working group on natural orifice transluminal endoscopic surgery. Surg Endosc 2006; 20: 329-333.

14. Pryor DA, Tushar JR, Dibernardo RL. Single-port cholecystectomy with the TransEnterix SPIDER: single and safe. Surg Endosc 2010; 24: 917-923.