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Access for Laparoendoscopic Single Site Surgery

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...

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Detalles Bibliográficos
Autores principales: Ross, Sharona B., Clark, C. Whalen, Morton, Connor A., Rosemurgy, Alexander S.
Formato: Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2902049/
https://www.ncbi.nlm.nih.gov/pubmed/20631903
http://dx.doi.org/10.1155/2010/943091
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author Ross, Sharona B.
Clark, C. Whalen
Morton, Connor A.
Rosemurgy, Alexander S.
author_facet Ross, Sharona B.
Clark, C. Whalen
Morton, Connor A.
Rosemurgy, Alexander S.
author_sort Ross, Sharona B.
collection PubMed
description 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.
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spelling pubmed-29020492010-07-14 Access for Laparoendoscopic Single Site Surgery Ross, Sharona B. Clark, C. Whalen Morton, Connor A. Rosemurgy, Alexander S. Diagn Ther Endosc Review Article 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. Hindawi Publishing Corporation 2010 2010-06-15 /pmc/articles/PMC2902049/ /pubmed/20631903 http://dx.doi.org/10.1155/2010/943091 Text en Copyright © 2010 Sharona B. Ross et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Ross, Sharona B.
Clark, C. Whalen
Morton, Connor A.
Rosemurgy, Alexander S.
Access for Laparoendoscopic Single Site Surgery
title Access for Laparoendoscopic Single Site Surgery
title_full Access for Laparoendoscopic Single Site Surgery
title_fullStr Access for Laparoendoscopic Single Site Surgery
title_full_unstemmed Access for Laparoendoscopic Single Site Surgery
title_short Access for Laparoendoscopic Single Site Surgery
title_sort access for laparoendoscopic single site surgery
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2902049/
https://www.ncbi.nlm.nih.gov/pubmed/20631903
http://dx.doi.org/10.1155/2010/943091
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