Page 44 - WJOLS - Laparoscopic Journal

Chigurupathi Venkata Pavan Kumar
Contd. 7. Raman JD, Bensalah K, Bagrodia A, Stern JM, Cadeddu JA.
Potential solutions Laboratory and clinical development of single keyhole umbilical
• Design of innovative retracting platforms nephrectomy. Urology 2007;70:1039-42.
• Implementation of magnetically anchored instruments deployed 8. Rivas H, Varela E, Scott D. As smooth as SILC: Single incision
through a single incision laparoscopic cholecystectomy. Society of Gastro-intestinal
• Implementation of robotic platforms
• Design of sigmoid-shaped instruments Endoscopic Surgeons, Annual Congress, Emerging Technologies,
• Additional basic surgical principles Philadelphia, PA 2008.
• Sound surgical judgment 9. Rivas H, Rivas R, Vargas R, Rivas H. Single umbilical incision
• Maintenance of equivalent operative exposure totally laparoscopic hysterectomy. Society of Gastrointestinal
• Low threshold for the use of additional ports at the initial Endoscopic Surgeons, Annual Congress, Emerging Technologies,
incision site or Philadelphia, PA 2008.
• Prompt conversion to conventional laparoscopy or to open 10. Castellucci SA, Curcillo PG, Ginsberg PC, Saba SC, Jaffe JS,
surgery.
Harmon JD. Single-port access adrenalectomy. J Endourol
2008;22:1573-76.
The table shows commonly encountered problems in 11. Cuesta MA, Berends F, Veenhof AA. The invisible cholecystec-
SPA surgery (see Table 2). tomy: A transumbilical laparoscopic operation without a scar.
Different types of instruments for laparoscopic surgery Surg Endosc 2008;22:1211-13.
have to be developed like retractors, dissection and 12. Afthinos JN, Forrester GJ, Binenbaum SJ, Harvey EJ, Kim
GJ, Teixeira JA. Single-incision laparoscopic cholecystectomy
laparoscopic cameras to make the surgeon more efficient. using flexible endoscopy: Saline infiltration gallbladder fossa
As we lead into the next phase of minimal access surgery, dissection technique. Surg. Endosc. Epub ahead of print 19
we need to develop procedures, instruments and ports easily March 2009.
available and affordable so that they can be used for large 13. Tacchino R, Greco F,Matera D. Single incision laparoscopic
volume of patients. cholecystectomy: Surgery without a visible scar. Surg Endosc
2009;23:896-99.
14. Tracy CR, Raman JD, Cadeddu JA, Rane A. Laparoendoscopic
CONCLUSION single site surgery in urology: Where have we been and where are
we heading? Nat Clin Pract Urol 2008;5:561-68.
After review of all the articles and many studies we still 15. Hodgett SE, Hernandez JM, Morton CA, Ross SB, Albrink M,
cannot come to the conclusion about the best port available Rosemurgy AS (2009). Laparoendoscopic single site (LESS)
in single incision laparoscopy. The different single incision cholecystectomy. J Gastrointest Surg. 13:188-192 Epub 22
November 2008.
laparoscopy ports have different features from one another. 16. Zhu JF. Scarless endoscopic surgery: NOTES or TUES. Surg
Each one has its own unique features. So, the choice of Endosc 2007;21:1898-99.
single incision laparoscopy port depends on surgeon, 17. Elazary R, Khalaileh A, Zamir G, Har-Lev M, Almogy G,
availability and cost factor. To ascertain which port is better, Rivkind AI, Mintz Y. Single-trocar cholecystectomy using a
we need to do further studies and research. Whatever might flexible endoscope and articulating laparoscopic instruments: A
bridge to NOTES or the final form? SurgEndosc 23:969-72 Epub
be the choice of the port, the surgical procedure and patients 1 January 2009
should not be comprised. 18. Abe N, Takeuchi H, Ueki H, Yanagida O, Masaki T, Mori T,
Sugiyama M, Atomi Y. Single-port endoscopic cholecystectomy:
REFERENCES A bridge between laparoscopic and translumenalencoscopic
1. FH Remzi, HT Kirat, JH Kaouk, DP Geisler. Singleport surgery J hepatobiliary pancreatic 2009.
laparoscopy in colorectal surgery. Colorectal Disease. 19. Mark A Rettenmaier, Lisa N Abaid, Michelle R Erwinb, Cameron
2008;10(8):823-26. R John, John P Micha, John V Brown III, Bram H. A
2. P Bucher, F Pugin, P Morel. Single port access laparoscopic Retrospective Review of the Gel Port System in Single-Port
right hemicolectomy, International Journal of Colorectal Disease Access Pelvic Surgery. Goldstein, PhDab Received 10 June 2009;
2008;23(10):1013-16. accepted 30 July 2009.
3. J Leroy, RA Cahill, M Asakuma, B Dallemagne, J Marescaux. 20. Jung Hun Leea, Joong Sub Choia, Seung Wook Jeona, Chang
Single-access laparoscopic sigmoidectomy as definitive surgical EopSona, Se Jin Leea, Yong SeungLeeb. Single-port
management of prior diverticulitis in a human patient. Archives laparoscopic myomectomy using transumbilical Gel Port
of Surgery 2009;144(2):173-79. access; accepted 4 July 2010. Available online 3 August 2010.
4. Saber AA, Elgamal MH, Itawi EA, et al. Single-incision J European journal of obstetrics and gynecology and
laparoscopic sleeve gastrectomy (SILS): A novel technique. Obes. reproductive biology.
Surg 2008;18:1338-42. 21. AM Merchant, E Lin. Single incision laparoscopic right
5. Rivas H, Varela E, Scott D. Single incision laparoscopic chole- hemicolectomy for a colon mass, Diseases of the Colon and
cystectomy in an animal model. Society of Gastro Endoscopic Rectum 2009;52(5):1021-24.
Surgeons, Annual Congress, Emerging Technologies, 22. R Singh, A Omiccioli, S Hegge, C McKinley. Does the extraction-
Philadelphia, PA 2008. site location in laparoscopic colorectal surgery havean impact
6. Rivas H, Varela E, Scott D. Single-incision laparoscopic on incisional hernia rates? Surgical Endoscopy 2008;22(12):2596-
surgery for placement of adjustable gastric banding in an animal 600.
model. Society of Gastrointestinal Endoscopic Surgeons, 23. Wu AS, Podolsky ER, Curcillo PG, Bessler M, Cohen L,
Annual Congress, Emerging Technologies, Philadelphia, PA Copper C, Dunham R, Fendley S, Graybeal C, Gumbs A,
2008. Iannelli A,Katkhouda N, Kelley W, Mason R, Neff M, Norton

50
JAYPEE