Page 42 - WJOLS - Laparoscopic Journal

Chigurupathi Venkata Pavan Kumar

completion of the procedure, the trocar site facial plane is The Alexis wound retractor has 360° of atraumatic,
closed. If the facial incision was enlarged for specimen circumferential retraction and protection (Fig. 3). This port
delivery then they are closed in standard manner. Then the is being used by many surgeons. In many of the studies
skin is closed with subcuticular suture. GelPort system has being used. 19-20 One surgical team also
proposed use of GelPort to increase the freedom of motion. 21
DISCUSSION
TRIPORT AND QUADPORT (BY ADVANCED
Single incision laparoscopy is being performed by many SURGICAL CONCEPTS)
surgeons throughout the world. Many articles and studies It has a multi-instrument access port for single incision
are being done because SILS is laying a bridge to more laparoscopic surgery (Fig. 4). ASC has also developed
advanced surgery like NOTES (natural orifice transluminal quadport, here the incision required is 2.5 to 6.5 cm in
endoscopic surgery). The different procedures performed
by single incision ports are cholecystectomy, colonic
procedures like colectomy, appendectomy, splenectomy, Table 1: Synonym of SILS
adrenalectomy, omental resection, liver biopsy and • Single incision laparoscopic surgery
procedures on small bowel. Saber et al reported a SILS • • TUES (Transumbilical endoscopic surgery)
TM
SILS
series in bariatric surgery specifically by transumbilical sleeve • LESS TM (Laparoendoscopic single-site surgery)
gastrectomies. 4 • SPA TM (Single portal access)
All over the world there is so much interest in performing • E-NOTES (Embryologic natural orifice translumenal
endoscopic Surgery)
single incision surgeries for best cosmetic outcome that • SAS (Single access surgery)
many of the groups have pioneered and mastered this • • S3 (Single site surgery)
Single port surgery
technology. 5-18 • CL1P (Cirugia laproscopy pica de 1 puerto, one-port
There are so many nomenclatures for SILS (Table 1): 27 laparoscopic surgery)
Now coming to the different types of ports, there are • • NOTUS (Natural orifice transumbilical surgery)
SAVES (Single access video endoscopic surgery).
so many surgical teams performing different types of
surgeries with different ports (Figs 1A to D). We are going
to discuss briefly on some of the commonly used ports.

SILS PORT (BY COVIDIEN)
SILS port is one of the most commonly and widely used
port all over the world (Fig. 2). It has a blue, flexible soft-
foam port with three access channels for three instruments.
There is 5 mm cannula and 5 to 12 mm cannula. The SILS
port can adapt depending on the size of instrument while
still maintaining pneumoperitoneum.

GELPORT (BY APPLIED MEDICAL)

GelPort laparoscopic system has gel seal cap with the
enhanced retractor and protection of Alexis wound retractor. Fig. 2: SILS Port

Figs 1A to D: Commonly used ports all over the world are: (A) SILS Port (Covidien, Norwalk, Connecticut, USA), (B) ASC Triport (Advanced
Surgical Concepts, Wicklow, Ireland), (C) GelPort (Applied Medical, Rancho Santa Margarita, California, USA), (D) Uni-X (Pnavel Systems,
Morganville, New Jersey, USA

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