Glove technique in single-port access laparoscopic surgery: results of an initial experience.

Minimally Invasive Surgery
Lorenzo LivraghiEugenio Cocozza

Abstract

Introduction. Single-incision laparoscopic surgery (SILS) is a virtually "scarless" technique. A retrospective analysis is performed to evaluate an initial experience of this surgical approach. Materials and Methods. From January 2010 to October 2011, SILS was considered as a minimally invasive approach to abdominal disease. The access was made by a standard wound protector and a size 6 glove. A series of little accesses were made on the tips of the glove-fingers to induce pneumoperitoneum and to create a working channel for the laparoscopic instruments. An analysis of costs of this technique was made too. Results. SILS was successfully completed with low cost in 34 patients: 20 appendectomy, 12 cholecystectomy, and 2 right colectomy were performed with a median operative time of 35, 45, and 67.5 minutes, respectively. In no patient any conversion to standard laparoscopy or to open surgery was needed. The postoperative course was uneventful in all patients. In right hemicolectomy, the oncological parameters were respected. Conclusions. In this paper the glove-port technique showed multiple advantages. The SILS is a feasible approach for some pathologies in selected patients. The glove-port is a simple, low-cost, reproducible, a...Continue Reading

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Citations

Oct 8, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·K ClarkeG P McEntee
Mar 19, 2014·Cirugía española·Verónica Gumbau Puchol, José Mir Labrador
Jan 8, 2014·Cirugía española·José Mir LabradorRicardo Fabra Ramis
Jan 15, 2014·Cirugía española·José Mir Labrador, Verónica Gumbau Puchol
Jan 20, 2016·Asian Journal of Endoscopic Surgery·Hiroyuki NakamuraAtsushi Nakamitsu
Nov 11, 2015·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·M ZouariR Mhiri
Mar 26, 2014·Asian Journal of Endoscopic Surgery·Siripong Sirikurnpiboon
Sep 29, 2015·Gynécologie, obstétrique & fertilité·J Niro, O Raspado
Mar 31, 2015·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·M Ben DhaouR Mhiri
Jan 17, 2015·International Surgery·Nobuhisa MatsuhashiKazuhiro Yoshida
Oct 20, 2015·World Journal of Gastroenterology : WJG·Nisreen MadhounEric M Haas

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