Surgical Technology International XX - Surgical Overview
Article title:

Single-Access Laparoscopic Surgery Using New Curved Reusable Instruments: Initial Hundred Patients

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Giovanni Dapri, MD
Assistant Professor of Surgery


Lorenzo Casali, MD


Jean Bruyns, MD
Associate Professor of Surgery


Jacques Himpens, MD
Associate Professor of Surgery


Guy-Bernard Cadiere, MD, PhD
Professor of Surgery,

Director of the European School of
Laparoscopic Surgery

Department of Gastrointestinal Surgery
European School of Laparoscopic Surgery, Saint-Pierre University Hospital
Brussels, Belgium

In recent years, laparoscopic surgery underwent a huge investment from both the clinical and research points of view to perform classic procedures through a single (S) incision or single port, resulting in the development of different instruments and ports. The main advantage of the S-access laparoscopy (SAL) is cosmesis. Future investigations will provide other potential advantages, such as improvement in postoperative pain and patient satisfaction. We report our initial experience on 115 patients utilizing a SAL (appendectomy, cholecystectomy, incisional hernia repair, Nissen fundoplication, upper gastrointestinal surgery, diagnostic laparoscopy,
hepatic resection, splenectomy), along with the new curved reusable instruments (Karl Storz - Endoskope, Tuttlingen, Germany). The curves of the instruments enable the surgeon to work in an ergonomic position similar to classic laparoscopy, establishing a working triangulation inside the abdomen as well as outside. The cost of SAL is similar to classic laparoscopy as only reusable products are used.



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