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Videos on Single Port Surgery
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This video demonstrates the single port laparoscopic treatment of a right indirect inguinal hernia in a 21-year-old male patient using the E.K. Glove port. This video will show the polypropylene mesh fixation and the repair of the peritoneal flaps performed exclusively by hand suturing.
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Background: Single-incision laparoscopy (SIL) recently gained interest mainly to improve the cosmetic outcomes. This video shows a patient submitted to left hepatic lobectomy by transumbilical SIL.
Video: A 24 year-old woman with a BMI of 24.4 kg/m2 consulted for a hydatid cyst of the II-III ...
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This video demonstrates the single-port laparoscopic treatment of a left indirect inguinal hernia in a male patient aged 50 using the E.K. glove port. The peritoneal dissection, the separation of the hernia sac and placement of the polypropylene mesh are demonstrated. Single-port intracorporeal ...
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One of the main drawbacks of single port cholecystectomy, which cripples the surgeon is the gallbladder fundus retraction. Here, we demonstrate the different cost-effective methods we employ for fundus retraction in single port cholecystectomy.
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Background: Single-access laparoscopy (SAL) can be proposed in patients presenting peritonitis both for diagnosis and treatment. This video shows a transumbilical SAL performed for perforated gastric ulcer.
Video: A 30 year-old woman with a body mass index of 22.9 kg/m2 was admitted to the ...
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Laparoscopic adrenalectomy has been shown to be safe and effective for a variety of benign adrenal tumors. The extraperitoneal approach with a minimal access procedure provides direct access to the adrenal glands without interfering with intraperitoneal organs. This video shows a live demonstration ...
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Single port laparoscopic surgery has emerged to enhance the cosmetic benefits and to decrease morbidity in minimally invasive surgery. However, this technique requires a specialized multichannel port (to introduce the laparoscope and instruments) which is very costly and not affordable ...
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This video demonstrates the laparoscopic single port restoration of bowel continuity after Hartmann’s procedure. The key steps of the operation —namely stoma removal, preparation of the descending colon, dissection and recut of the rectal stump, and trans-sutural colorectal anastomosis— are ...
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We describe in this video our technique of single port sacrocolpopexy using standard instruments, the 0-degree, 10mm laparoscope, and the SILS™ Port by Covidien. The procedure is performed as usual with intra- or extracorporeal knot tying and tackers. The operative time is 130 min without blood ...
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Single incision laparoscopic surgery can be applied for colonic resection. This video demonstrates a multiple port transumbilical single incision technique for total colectomy. The procedure is in compliance with oncological principles in cancer surgery. The final wound is slightly larger than the ...
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This patient is a 23-year-old female who is candidate for elective splenectomy for idiopathic thrombocytopenic purpura (ITP). A single access transumbilical laparoscopic splenectomy using curved and reusable instruments is presented. Thanks to the special shape of these instruments, there is no ...
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This video demonstrates a single port laparoscopic cholecystectomy using conventional reusable instruments. In addition, safe visualisation of Calot’s triangle is achieved via a percutaneous silk suture passed through the Hartmann’s pouch permitting anterior and posterior dissection without the ...
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This video shows a single incision transumbilical laparo-endoscopic gastric benign tumor resection using double curved instruments. The double-curved instrument is interesting because it allows for correct triangulation of the tools but also for retraction of the left lobe of the liver during ...
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The objective of this film is to demonstrate a technique for cholecystectomy using a single port situated in the umbilicus. This home-made system is inexpensive. It has been used a lot in South Korea and Japan. It consists of a surgical glove connected to the Applied Medical Alexis® wound ...
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This video demonstrates a laparoscopic single port splenectomy in a 27-year-old woman with medically refractory idiopathic thrombocytopenic purpura (ITP). The procedure was performed using a multi-instrument flexible single incision port, SILS port (Covidien), which was inserted through a 2.5cm ...
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Since the first operation performed in 2005, single incision laparoscopic surgery has been used around the world to perform many procedures. Problems still remain for exposure. This video shows a single incision laparoscopic Nissen fundoplication with new curved and reusable instruments.
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Laparoscopy is becoming the "gold standard" approach for nephrectomy when treating different benign and malignant diseases as well as for living donor transplantation.
During the last few months in both experimental and clinical settings, new techniques such as Natural Orifice Transluminal ...
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Laparoscopic sleeve gastrectomy has gained increasing popularity due to its simplicity and good results. Nowadays, many attempts are made to minimize port access, and sleeve gastrectomy is no exception for that. This video shows a laparoscopic single incision sleeve gastrectomy in a 40-year-old ...
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This video demonstrates a laparoscopic single incision repair of an incisional hernia using bi-curved and reusable instruments.
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The video "Single port site cholecystectomy for symptomatic cholelithiasis" authored by D Mutter and J Marescaux is analysed by Dr. Benoît Navez, sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and tricks.
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The video "Single port cholecystectomy: impact of instrumentation in getting the critical view of safety" authored by B Dallemagne, J Leroy and J Marescaux is analysed by Prof. Zygmunt Krukowski, sharing in this way his own personal experience and highlighting the different surgical approaches ...
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Surgeons are always looking for the most effective and least invasive techniques to benefit patients. The single incision laparoscopic surgery (SILS) is revolutionary in the gastrointestinal surgical field. Specific tools are used in this kind of surgery. This video shows a SILS appendectomy ...
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This video demonstrates a laparoscopic single incision cholecystectomy using new curved and reusable instruments: a grasper with double curves and a hook with a single curve. A reusable 10mm trocar is inserted.
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Single incision laparoscopic surgery (SILS) is emerging as a method to improve morbidity and cosmetic benefits of laparoscopic surgery. This is the case of a 27-year-old woman presenting with ulcerative colitis. Because of her young age and slim body habitus, a total colectomy using a single port ...
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Single incision laparoscopic surgery (SILS) was developed with the aim of reducing the invasiveness of traditional laparoscopy. The aim of this video is to show tips that are useful when performing a cholecystectomy with a single umbilical trocar while respecting the rules of biliary surgery.
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Single Port Surgery is an advanced minimally invasive approach leaving almost no visible scar. With this technique, pain and discomfort are also reduced to a minimum and recovery time is quicker. This video demonstrates a laparoscopic single port sleeve gastric resection in a 41-year-old female ...
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Single port operations are usually presented for appendectomies and cholecystectomies. We present the case of an 84-year-old man who presented recently to our department with Iron Deficiency Anemia (IDA).
A CT-colonography identified a caecal tumor, which was proven malignant by biopsies taken at ...
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Transumbilical single incision laparoscopic sigmoidectomy is feasible by experienced laparoscopic surgeons using current available laparoscopic instruments and staplers. In this live video shot during the IRCAD Advanced Course in Laparoscopic Colorectal Surgery in November 2009, Prof. Leroy shows ...
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Patients undergoing gastrointestinal surgery had only two surgical options: conventional open surgery or laparoscopic surgery with multiple incisions. Single incision laparoscopic surgery may become the preferred method of the future. Patients experience less pain and quicker recovery. Patients ...
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Single port access surgery may be the next generation of minimally invasive surgery thanks to the obvious advantages (e.g., scarless surgery, lesser pain, and faster postoperative recovery). Performing a cholecystectomy via a single trocar imposes a few technical constraints. The first is the ...
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The video "SILS Single port cholecystectomy" authored by D Mutter and J Marescaux is analysed by Prof. Michael Bailey, sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and tricks.
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In a significantly short time, Laparoscopic Adjustable Gastric Banding (LAGB) for morbid obesity has become a common operation in Europe and elsewhere.
Recent series show a high percentage of patients re-operated on, almost always with excision of the banding system. The reasons for re-operation ...
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Laparoscopic techniques have allowed surgeons to perform complicated intra-abdominal surgery with minimal trauma. Recently, the use of single incision laparoscopic surgery (SILS) has increased the potential of further reducing the trauma of surgical access respecting the basic principles of ...
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Minimally invasive techniques continue to evolve. This leads to an improvement of less invasive surgery over standard procedures. Single port TAPP inguinal hernia repair is technically feasible. This video shows a left direct inguinal hernia repair using the R port (namely the TriPort manufactured ...
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Non-neoplastic cysts of the spleen are rare and their management has evolved from total open splenectomy to laparoscopic cyst decapsulation.
The aim of this video is to present a lesser invasive laparoscopic splenic cyst fenestration using a transumbilical single port device.
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A technique for single port splenectomy in a normal sized spleen and using a single 2cm subcostal incision is demonstrated. This approach was chosen to allow the use of a straight (non-articulated) 5mm Ligasure device. This was used to divide the gastrosplenic ligament and short gastric vessels, to ...
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Laparoscopic cholecystectomy is now considered the "gold standard" approach for the treatment of symptomatic gallstones and acute cholecystitis. Single access laparoscopy has been proposed in order to reduce even more surgical trauma and improving the postoperative course and cosmetic results by ...
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Laparoscopic splenectomy (LS) is the gold standard approach for normal spleens. Conventional LS requires 3 to 5 large bore trocars and enlargement of one trocar for bag insertion and spleen morcellation. There is a trend to reduce invasiveness of minimally invasive procedures with NOTES, hybrid ...
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The combination of standard laparoscopy and specimen extraction through a natural orifice has the potential to decrease wound-related complications, the number of the trocars and the size of the incisions in order to avoid traumatic specimen extractions at the level of the abdominal wall. This ...
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English - 04'11''
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Intragastric tumors represent a challenging pathology to treat with a minimally invasive approach because of their position and size. The possibility to combine both endoscopy and intragastric endoscopic surgery is of great value in these cases. This video shows such a combined endoscopic and laparoscopic approach to treat a stromal gastric tumor of the cardia. The endoscopy allows to choose a perfect position of laparoscopic access, depending on the tumor location. Furthermore, it provides the vision at the beginning of the intervention. After ablation of the tumor, a Triport is inserted into the stomach to close the gastric mucosa, allowing multiple transgastric access through a single gastrotomy.
Keywords: Combined endoscopic and laparoscopic transgastric single port, TriPort, gastric tumor, GIST
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English - 06'07''
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The reduction of the number of trocars is one of the ways to minimize the invasiveness of the surgical intervention. This video shows a cholecystectomy with a single site access, using a Gelport. This device was designed for hand-assisted surgery. Standard laparoscopic trocars are inserted through the gel. Articulated instruments are used to recreate the triangulation of a standard laparoscopy. The intervention itself is performed in a standard way.
Keywords: Single port site access, cholecystectomy, symptomatic cholelithiasis
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English - 05'46''
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This video shows a unique procedure during which a sigmoidectomy was performed with a single trocar and entirely through the umbilicus. The principles applied to benign colonic resections are respected. An original colo-colonic anastomosis is presented with the use of external magnets to aid in with the totally intracorporeal anastomosis. The postoperative cosmetic results are shown. Keywords: single port sigmoidectomy: tips and tricks for exposure and anastomosis
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Combined endoscopic and laparoscopic transgastric single port (TriPort) access for a gastric tumor
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