Single Incision Laparoscopic Surgery Development at the Hospital Clinic: Our 4-Year ExperienceReport as inadecuate




Single Incision Laparoscopic Surgery Development at the Hospital Clinic: Our 4-Year Experience - Download this document for free, or read online. Document in PDF available to download.

Background: Single incision laparoscopic surgery SILS has still not replaced conventional laparoscopic surgery in many centers because of its special instruments requirements and training needs. In our Institution we introduced SILS procedures in a procedural stepwise manner, with progression to more difficult procedures only allowed if complete proficiency in low-complexity ones is achieved. Methods: We studied the evolution of performed SILS procedures in our Institution from the beginning of the program mainly appendectomies, cholecystectomies, left adrenalectomies and the results from these techniques. Results: Among 328 SILS procedures there were 148 appendectomies 24 by suprapubic access, 141 cholecystectomies, 32 left adrenalectomies, 6 diagnostic laparoscopies and 1 resection of Meckel’s diverticulum. The majority of appendectomies accounted for non-perforated appendicitis cases and there were no significant differences between transumbilical and suprapubic access groups. In cholecystectomies the majority of patients were elective cases and oral intake could be resumed within the 6 postoperative hours. In left adrenalectomies no conversion to open surgery was required and there were no intraoperative or postoperative complications. Conclusions: Procedural stepwise approach in SILS is a valid, feasible and safe option that can be applied at any institution starting a SILS program.

KEYWORDS

Adrenal, Appendix, Cholecystectomy, Training-Courses, Education

Cite this paper

Martí, J. , Vidal, O. , Valentini, M. , Ginestà, C. , Espert, J. , Rodriguez, M. , Benarroch, G. and García-Valdecasas, J. 2015 Single Incision Laparoscopic Surgery Development at the Hospital Clinic: Our 4-Year Experience. International Journal of Clinical Medicine, 6, 26-32. doi: 10.4236-ijcm.2015.61004.





Author: Josep Martí, Oscar Vidal*, Mauro Valentini, Cesar Ginestà, Juan José Espert, Miss Yolanda Rodriguez, Guerson Benarroch, Juan C

Source: http://www.scirp.org/



DOWNLOAD PDF




Related documents