World Journal of Laparoscopic Surgery

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VOLUME 3 , ISSUE 1 ( January-April, 2010 ) > List of Articles

RESEARCH ARTICLE

Single Port Endolaparoscopic Surgery (SPES) in Double Abdominal Procedures

Michael M Lawenko, Javier Lopez-Gutierrez, Alembert Lee-Ong, Davide Lomanto

Citation Information : Lawenko MM, Lopez-Gutierrez J, Lee-Ong A, Lomanto D. Single Port Endolaparoscopic Surgery (SPES) in Double Abdominal Procedures. World J Lap Surg 2010; 3 (1):45-47.

DOI: 10.5005/jp-journals-10007-1081

Published Online: 01-04-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

Single port endolaparoscopic Surgery (SPES) has gained enthusiasm in the surgical community because of the perceived better postoperative outcome, namely a single incision. We write this prospective observational study to ascertain the feasibility and safety of this technique in patients needing two operations.

Methodology

Three patients who underwent double procedures each. Case 1: Transabdominal preperitoneal hernia repair with gastric wedge resection. Case 2: Cholecystectomy with diaphragmatic hernia repair. Case 3: Oophorectomy with incisional hernia repair. Patient demographics, type of port used, operating time, complications and scar length were collected.

Results

Operating time for the first case was 250, 210 and 105 minutes respectively. Incision length varied from 2 to 3 cm. Addition of a 5 mm port and an intraoperative complication of a laceration of the liver after suturing of the gallbladder fundus was noted in the second case.

Conclusion

SPES is a feasible and safe technique for approaching double procedures. It drastically reduces the number of scars that a double procedure creates and if difficulty arises another port can always be added to ease the operation.


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