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World J Gastroenterol. 2015 Apr 21;21(15):4440-6. doi: 10.3748/wjg.v21.i15.4440.

Technical and instrumental prerequisites for single-port laparoscopic solo surgery: state of art.

Author information

1
Say-June Kim, Sang Chul Lee, Department of Surgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Seoul 110-758, South Korea.

Abstract

With the aid of advanced surgical techniques and instruments, single-port laparoscopic surgery (SPLS) can be accomplished with just two surgical members: an operator and a camera assistant. Under these circumstances, the reasonable replacement of a human camera assistant by a mechanical camera holder has resulted in a new surgical procedure termed single-port solo surgery (SPSS). In SPSS, the fixation and coordinated movement of a camera held by mechanical devices provides fixed and stable operative images that are under the control of the operator. Therefore, SPSS primarily benefits from the provision of the operator's eye-to-hand coordination. Because SPSS is an intuitive modification of SPLS, the indications for SPSS are the same as those for SPLS. Though SPSS necessitates more actions than the surgery with a human assistant, these difficulties seem to be easily overcome by the greater provision of static operative images and the need for less lens cleaning and repositioning of the camera. When the operation is expected to be difficult and demanding, the SPSS process could be assisted by the addition of another instrument holder besides the camera holder.

KEYWORDS:

Camera holder; Laparoscopy; Single-port laparoscopic surgery; Single-port solo surgery; Solo surgery

PMID:
25914453
PMCID:
PMC4402291
DOI:
10.3748/wjg.v21.i15.4440
[Indexed for MEDLINE]
Free PMC Article

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