Martínez PE, Fernández RL, Bressler HN, Torres CR

Language: Spanish
References: 17
Page: 221-226
PDF size: 326.96 Kb.

ABSTRACT

Laparoscopic surgery is focused toward the development of less invasive technics. With the technological advance it is possible to introduce in the abdominal cavity multiple instruments through oneself port. We describe the technique of laparoscopic appendectomy only with three access ports through a simple umbilical incision, using conventional instruments in a 33 year-old patient with abdominal pain about 18 hours of evolution. The intervention was carried out in a successful way, without complications during the procedure and after surgery. The patient left the hospital 12 hours later of having operated. The apendicectomy in mature patients through a single incision is a trusted technique and easily achievable when appropriate training exists.

REFERENCES

1. Auyang ED. Human NOTES Cholecystectomy: Transgastric Hybrid Technique. J Gastrointest Surg. 2009;13(6):1149-50.

2. Tagaya N, Rokkaku K, Kubota K. Needlescopic cholecystectomy versus needlescope-assisted laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Technol. 2007;17(5):375-79.

3. Pearl JP, Ponsky JL. Natural orifice translumenal endoscopic surgery: a critical review. J Gastrointest Surg. 2008;12(7):1293-300.

4. Rispoli G, Armellino MF, Esposito C. One-trocar appendectomy. Surg Endosc. 2002;16(5):833-35.

5. Barros R, Frota R, Stein RJ, Turna B, Gill IS, Desai MM. Simultaneous laparoscopic nephroureterectomy and cystectomy: a preliminary report. Int Braz J Urol. 2008;34(4):413-21.

6. Merchant AM, Cook MW, White BC, Davis SS, Sweeney JF, Lin E. Transumbilical gelport access technique for performing Single Incision Laparoscopic Surgery (SILS). J Gastrointest Surg. 2009;13(1):159-62.

7. Pelosi MA, Pelosi MA. Laparoscopic hysterectomy with bilateral salpingo-oophorectomy using a single umbilical puncture. N Engl J Med. 1991; 88(1):721-26.

8. Pelosi MA, Pelosi MA. Laparoscopic appendectomy using a single umbilical punctures (minilaparoscopy). J Reprod Med.1992;37(7):588-94.

9. Kala Z, Hanke I, Newmann C. A modified technique in laparoscopy-assisted appendectomy, a transumbilical approach through a single port. Rozhl Chir. 1996;75(1):15-18.

10. Canes D, Desai M, Aron M, Pascal G, Goel R, Stein R, et al. Transumbilical single port surgery: evolution and current status. Eur Urol 2008;54(5):1020-9.

11. Esposito C. One-trocar appendectomy in pediatric surgery. Surg Endosc. 1998;12(2):177-178.

12. Rispoli G, Armellino MF, Esposito C. One-trocar appendectomy. Surg Endosc. 2002;16(5):833-35.

13. Pelosi MA. Laparoscopic supracervical hysterectomy using a single-umbilical puncture (minilaparoscopy). J Reprod Med.1992;37(9):777-84.

14. Abhay R, Prashanth R, Pradeep R. Single-Port-Access Nephrectomy and Other Laparoscopic Urologic Procedures Using a Novel Laparoscopic Port (R-Port). Urology. 2008;72(2):260-63.Ateş O, Hakgüder G, Olguner M, Akgür FM. Single-port laparoscopic appendectomy conducted intracorporeally with the aid of a transabdominal sling suture. J Pediatr Surg. 2007;42(6):1071-74.

15. Kaouk JH, Haber GP, Goel RK, Desai MM, Aron M, Rackley RR, Moore C, Gill IS. Single-Port Laparoscopic Surgery in Urology: Initial Experience. Urology. 2008;71(1):3-6.

16. Saber AA, Meslemani AM, Davis R. Safety zones for anterior abdominal wall entry during laparoscopy: a CT scan mapping of epigastric vessels. Ann Surg. 2004;239(2):182-85.

17. Saber AA, Elgamal MH, Itawi EA, Rao AJ. Single incision laparoscopic sleeve gastrectomy (SILS): a novel technique. Obes Surg. 2008;18(10): 1338-342.