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Access for laparoendoscopic single site surgery.

Ross SB, Clark CW, Morton CA, Rosemurgy AS - Diagn Ther Endosc (2010)

Bottom Line: We review the options for obtaining access, available instrumentation, common challenges and solutions for access.We conclude that LESS surgery is safe and provides outcomes with superior cosmesis relative to conventional laparoscopy.LESS surgery should be embraced, as patient demand is rapidly increasing.

View Article: PubMed Central - PubMed

Affiliation: Division of General Surgery, The Department of Surgery, Tampa General Hospital, Digestive Disorders Center, University of South Florida, Tampa, FL 33601, USA.

ABSTRACT
Laparoscopic surgery is the standard of care for many abdominal and pelvic operations and is widely applied today. LESS (Laparo-Endoscopic Single Site) surgery, originally attempted in the 1990s, is an advanced minimally invasive approach that allows laparoscopic operations to be undertaken through a small (<15 mm) incision in the umbilicus, a preexisting scar. The presence of a preexisting scar allows LESS surgery to be essentially scarless, which is the key benefit to LESS operations. Herein, we review our experience with over 500 LESS operations and discuss the key techniques to establishing access to the peritoneal cavity. We review the options for obtaining access, available instrumentation, common challenges and solutions for access. We conclude that LESS surgery is safe and provides outcomes with superior cosmesis relative to conventional laparoscopy. LESS surgery should be embraced, as patient demand is rapidly increasing.

No MeSH data available.


Related in: MedlinePlus

SILS port.
© Copyright Policy - open-access
Related In: Results  -  Collection


getmorefigures.php?uid=PMC2902049&req=5

fig2: SILS port.

Mentions: A single umbilical skin incision through which a multitrocar port is inserted. There are a number of commercially available ports that fit this description, two of which are depicted in Figures 1 and 2:


Access for laparoendoscopic single site surgery.

Ross SB, Clark CW, Morton CA, Rosemurgy AS - Diagn Ther Endosc (2010)

SILS port.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2902049&req=5

fig2: SILS port.
Mentions: A single umbilical skin incision through which a multitrocar port is inserted. There are a number of commercially available ports that fit this description, two of which are depicted in Figures 1 and 2:

Bottom Line: We review the options for obtaining access, available instrumentation, common challenges and solutions for access.We conclude that LESS surgery is safe and provides outcomes with superior cosmesis relative to conventional laparoscopy.LESS surgery should be embraced, as patient demand is rapidly increasing.

View Article: PubMed Central - PubMed

Affiliation: Division of General Surgery, The Department of Surgery, Tampa General Hospital, Digestive Disorders Center, University of South Florida, Tampa, FL 33601, USA.

ABSTRACT
Laparoscopic surgery is the standard of care for many abdominal and pelvic operations and is widely applied today. LESS (Laparo-Endoscopic Single Site) surgery, originally attempted in the 1990s, is an advanced minimally invasive approach that allows laparoscopic operations to be undertaken through a small (<15 mm) incision in the umbilicus, a preexisting scar. The presence of a preexisting scar allows LESS surgery to be essentially scarless, which is the key benefit to LESS operations. Herein, we review our experience with over 500 LESS operations and discuss the key techniques to establishing access to the peritoneal cavity. We review the options for obtaining access, available instrumentation, common challenges and solutions for access. We conclude that LESS surgery is safe and provides outcomes with superior cosmesis relative to conventional laparoscopy. LESS surgery should be embraced, as patient demand is rapidly increasing.

No MeSH data available.


Related in: MedlinePlus