کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3322522 | 1211812 | 2009 | 10 صفحه PDF | دانلود رایگان |

Since the introduction of Natural Orifice Translumenal Surgery (NOTES), experimental and human series of new access way to abdominal cavity are being described. Some are the “resurrection” of mini-site and some are single access umbilical laparoscopy. NOTES still on experimental field in most of its applications, but transumbilical single access seems to be better accepted for immediate clinical use. Nomenclature of this approach varies in many ways as: Natural Orifice Transumbilical Surgery (NOTUS), Single-Port Access (SPA) and Laparoendoscopic Single-site Surgery (LESS). Those are the most popular names. From the initial umbilical single access procedures it was a natural evolution the development of single trocars that could accommodate all instruments in a single incision, the Single Port Access Surgery. This article will present and discuss the differences of the technique when compared with laparoscopy, the different models of single trocar devices and the literature available on this matter. Authors experience with single incision, multiple trocars and single trocar procedures comes from 21 consecutive single incision, multiple trocars cholecystectomies and 25 single trocar cholecystectomies from 2008 to 2009 (retrospective analysis). Single incision group had 16 female patients within 22 to 58y (M = 42 y), single port group had 19 female patients within 26 to 60 y (M = 44 y). Operative time was 32 to 100 min (M = 59 min) and 32 to 205 min (M = 85.2 min) respectively. Intra-op complication happened as 1 cystic artery bleeding on single access group. Post-op complication appears as 2 seromas on single port group. No conversion or mortality was registered. Single port access devices and procedures represents a promising opportunity at its beginning of clinical experience. Proper training should be offered and more comparative data is requested.
Journal: Techniques in Gastrointestinal Endoscopy - Volume 11, Issue 2, April 2009, Pages 84–93