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Experts' opinions on Single Port Surgery
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Keywords: benefits, Single Port access, laparoscopic colorectal surgery
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Compared to NOTES, single port approach, or transumbilical endoscopic surgery (TUES) can obtain the same cosmetic results. It is relatively simple and safe, and can avoid all the complications appeared in NOTES. TUES can be easily be performed by laparoscopic surgeons without the help of endoscopic physicians. Furthermore, TUES technique may save on expensive devices and OR space. NOTES is attractive because it is an endoscopic therapy: the gallbladder can be removed through a gastroscopic examination! Right now it is simply too difficult for most surgeons. But I am sure it could be widely used as the technology and instruments are further improved.
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The indications for TUES surgery will change with improvement in the technique. I think that current best indications for TUES include appendectomy, liver cyst fenestration and cholecystectomy in general surgery. I am sure the range for TUES will be expanded greatly as advanced instruments such as bipolar cautery or ultrasonic scalpels and suturing devices suitable for TUES are developed.
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What are the benefits of single port access in laparoscopic colorectal surgery?
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