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Laparoendoscopic Single-site Surgery (laparoendoscopic + single-site_surgery)
Selected AbstractsTHE EMERGING FIELDS OF LAPAROENDOSCOPIC SINGLE-SITE SURGERY (LESS) AND NATURAL ORIFICE TRANSLUMINAL ENDOSCOPIC SURGERY (NOTES)BJU INTERNATIONAL, Issue 6 2010Article first published online: 18 DEC 200 No abstract is available for this article. [source] MINIMALLY INVASIVE SURGERY IN UROLOGY: IS THE WINNER NATURAL-ORIFICE TRANSLUMENAL ENDOSCOPIC SURGERY OR LAPAROENDOSCOPIC SINGLE-SITE SURGERY?BJU INTERNATIONAL, Issue 1 2010Abhay Rane No abstract is available for this article. [source] Psychosocial and marketing challenges for Natural Orifice Transluminal Endoscopic Surgery and Laparoendoscopic Single-site SurgeryBJU INTERNATIONAL, Issue 6b 2010Sashi S. Kommu First page of article [source] Robotic-assisted single-incision right colectomy: early experienceTHE INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY, Issue 4 2009Matthew B. Ostrowitz Abstract Background Application of laparoendoscopic single-site surgery (LESS) is increasing across surgical disciplines. In addition to the possibility of decreased postoperative pain, LESS offers better cosmesis with virtually ,scarless' surgeries, while avoiding the increased costs and complexity of natural orifice surgery. Instrument conflict minimization often requires the crossing of articulating instruments, which we believe can be more intuitively facilitated using the daVinci-S® robotic system. We describe our early experience with three robotic single-incision right hemicolectomies. Methods Three robotic single-incision right hemicolectomies were performed using the daVinci-S robotic system, utilizing a single 4 cm incision through or around the umbilicus. The procedure was performed using three robotic arms, a 12 mm camera and two 8 mm robotic ports. A medial to lateral approach was used and an extracorporeal resection and anastomosis was performed after undocking the robot. Results There were no intraoperative or postoperative complications. Average operative time was 152 min. The first case was converted to non-robotic single-incision right hemicolectomy during mobilization of the ascending colon, due to uncontrollable air leakage around the ports. The second and third cases were successfully completed without air loss by purse-stringing sutures around each individual port and the use of the SILSÔ port, respectively. Conclusions Robotic-assisted single-incision right hemicolectomy can be successfully and safely performed using the daVinci-S robotic system. Several techniques may be employed to prevent the loss of pneumoperitoneum. We believe right hemicolectomy lends itself to single-site surgery because specimen extraction requires a 4 cm incision and may confer patient benefit, with decreased postoperative pain and improved cosmesis. By crossing the robotic instruments and reassigning control of the arms, the robot represents a means to help perform these procedures safely by allowing them to be performed in a more intuitive fashion. Copyright © 2009 John Wiley & Sons, Ltd. [source] Increasing the relevance of laparoendoscopic single-site surgeryASIAN JOURNAL OF ENDOSCOPIC SURGERY, Issue 2 2010P. Toomey First page of article [source] Training for laparoendoscopic single-site surgery and natural orifice transluminal endoscopic surgeryBJU INTERNATIONAL, Issue 6b 2010Sean P. Stroup A combination of refinements in laparoscopic instrumentation and increasing surgical experience has driven innovation in the area of laparoendoscopic single-site surgery (LESS) and natural orifice transluminal endoscopic surgery (NOTES). By combining working ports and the extraction incision into one site, LESS allows access to the peritoneum with fewer incisions and less scarring than the traditional multiport laparoscopic technique. Reduced incisional morbidity and improved cosmesis have sparked a growing interest in the utilization of these techniques to perform urological surgery. Mastering of the technique requires training and repetition to develop the muscle memory required to perform these challenging procedures. Although there has been an explosion of literature published about initial experiences with LESS and NOTES, little has been written about training and implementation of this approach. Here, we describe our institutional experience and the essential elements of a LESS and NOTES training curriculum and offer some insight into establishing a successful programme. [source] | ||||||||||