Publication:
Surgical Technology International XX - Surgical Overview
Article title:
Single-Access Laparoscopic Surgery Using New Curved Reusable Instruments: Initial Hundred Patients
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Author(s)
Giovanni Dapri, MD
Assistant Professor of Surgery
Lorenzo Casali, MD
Fellow
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
Abstract
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.
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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