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Single Port Access (SPA) Cholecystectomy: Two Year Follow-up

INTRODUCTION: Laparoscopy is a constantly evolving field of surgery. New technology, applications, and benefits prompt continual improvement. We have developed a Single Port Access (SPA) surgical technique that allows for the entire cholecystectomy to be performed through a single incision within th...

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Autores principales: Podolsky, Erica R., Rottman, Steven J., Curcillo, Paul G.
Formato: Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3030787/
https://www.ncbi.nlm.nih.gov/pubmed/20202394
http://dx.doi.org/10.4293/108680809X12589998404245
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author Podolsky, Erica R.
Rottman, Steven J.
Curcillo, Paul G.
author_facet Podolsky, Erica R.
Rottman, Steven J.
Curcillo, Paul G.
author_sort Podolsky, Erica R.
collection PubMed
description INTRODUCTION: Laparoscopy is a constantly evolving field of surgery. New technology, applications, and benefits prompt continual improvement. We have developed a Single Port Access (SPA) surgical technique that allows for the entire cholecystectomy to be performed through a single incision within the umbilicus while maintaining safe standard dissection and retraction techniques of currently performed multi-port laparoscopic cholecystectomy. METHODS: Fifteen consecutive patients underwent SPA cholecystectomy. Indications were cholelithiasis, cholecystitis, CBD stones, and biliary akinesia. The entire procedure was performed through a single umbilical incision measuring <1.8 cm within the umbilicus. Three trocars and a rigid grasper were inserted through separate fascial sites within the same skin incision. The cholecystectomy procedures are then performed in the standard fashion described in multi-port cholecystectomy. RESULTS: Fifteen patients successfully underwent Single Port Access cholecystectomy. One patient required a second 5-mm port site secondary to difficulty with retraction of a large liver. Operative times averaged 107 minutes. Blood loss, patient recovery, and outcomes have been comparable to those of standard multi-port procedures. No umbilical hernias have been seen at 2 years of follow-up. CONCLUSION: We present the SPA cholecystectomy as an alternative to multi-port cholecystectomy. In the first 2 years, SPA surgery has evolved into a technique easily taught and performed without the restrictions of new equipment or added cost.
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spelling pubmed-30307872011-02-17 Single Port Access (SPA) Cholecystectomy: Two Year Follow-up Podolsky, Erica R. Rottman, Steven J. Curcillo, Paul G. JSLS Scientific Papers INTRODUCTION: Laparoscopy is a constantly evolving field of surgery. New technology, applications, and benefits prompt continual improvement. We have developed a Single Port Access (SPA) surgical technique that allows for the entire cholecystectomy to be performed through a single incision within the umbilicus while maintaining safe standard dissection and retraction techniques of currently performed multi-port laparoscopic cholecystectomy. METHODS: Fifteen consecutive patients underwent SPA cholecystectomy. Indications were cholelithiasis, cholecystitis, CBD stones, and biliary akinesia. The entire procedure was performed through a single umbilical incision measuring <1.8 cm within the umbilicus. Three trocars and a rigid grasper were inserted through separate fascial sites within the same skin incision. The cholecystectomy procedures are then performed in the standard fashion described in multi-port cholecystectomy. RESULTS: Fifteen patients successfully underwent Single Port Access cholecystectomy. One patient required a second 5-mm port site secondary to difficulty with retraction of a large liver. Operative times averaged 107 minutes. Blood loss, patient recovery, and outcomes have been comparable to those of standard multi-port procedures. No umbilical hernias have been seen at 2 years of follow-up. CONCLUSION: We present the SPA cholecystectomy as an alternative to multi-port cholecystectomy. In the first 2 years, SPA surgery has evolved into a technique easily taught and performed without the restrictions of new equipment or added cost. Society of Laparoendoscopic Surgeons 2009 /pmc/articles/PMC3030787/ /pubmed/20202394 http://dx.doi.org/10.4293/108680809X12589998404245 Text en © 2009 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Scientific Papers
Podolsky, Erica R.
Rottman, Steven J.
Curcillo, Paul G.
Single Port Access (SPA) Cholecystectomy: Two Year Follow-up
title Single Port Access (SPA) Cholecystectomy: Two Year Follow-up
title_full Single Port Access (SPA) Cholecystectomy: Two Year Follow-up
title_fullStr Single Port Access (SPA) Cholecystectomy: Two Year Follow-up
title_full_unstemmed Single Port Access (SPA) Cholecystectomy: Two Year Follow-up
title_short Single Port Access (SPA) Cholecystectomy: Two Year Follow-up
title_sort single port access (spa) cholecystectomy: two year follow-up
topic Scientific Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3030787/
https://www.ncbi.nlm.nih.gov/pubmed/20202394
http://dx.doi.org/10.4293/108680809X12589998404245
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