TITLE

SINGLE ACCESS LAPAROSCOPIC SURGERY FOR BASIC SURGICAL PROCEDURES: IS ALL THAT GLITTERS GOLD?

AUTHOR(S)
Bracale, Umberto; Andreuccetti, Jacopo; Merola, Giovanni; Lazzara, Fabrizio; Pignata, Giusto
PUB. DATE
March 2013
SOURCE
BH Surgery;2013, Vol. 3 Issue 1, p6
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The trend of recent years is to reduce the parietal trauma ensuring scarless surgery as the wound is hidden within the umbilicus. Single Access Laparoscopic Surgery (SALS) describe this type of surgery with single trans-umbilical laparoscopic access. We report the international evidence and our consideration about the application of SALS for basic surgical procedures (cholecystectomy, TAPP hernia repair and appendectomy). The hypothetical advantages of SALS over Laparoscopic Surgery (LS) are based on the reduced number of necessary incisions. There could be a consequent reduction in associated morbidity including wound infection, pain, bleeding, visceral injury and port site herniation. Furthermore, cosmesis could be improved, because many of the newer techniques used incisions within the umbilicus so that surgery is virtually 'scarless'. In this paper we will focus attention on interventions that do not involve extraction of body parts (colic resections, splenectomies, pancreatectomies, etc.) too large to be removed through a surgical incision smaller than 12mm. In these cases, we think that the hypothetical advantages of SALS could be lost. In conclusion, we think that SALS cholecystectomy, inguinal hernia repair and appendectomy have no real advantage compared to LS, especially if we take into account that a wide range of instruments is now available with a diameter less than 3 mm.
ACCESSION #
88046368

 

Related Articles

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics