Modified technique of laparoscopy-assisted surgeries (transportal)

Area of Science:

• Minimally Invasive Surgery
• Surgical Techniques
• Urology

Background:

• Laparoscopy-assisted surgery is a common surgical approach.
• Traditional laparoscopy-assisted techniques often require a formal abdominal incision.
• Pure laparoscopic surgery aims to minimize invasiveness but can be technically challenging.

Purpose of the Study:

• To evaluate the role and advantages of the transportal technique in laparoscopy-assisted surgery.
• To compare the transportal technique with pure laparoscopic and traditional laparoscopy-assisted surgeries.
• To highlight the benefits of the transportal approach in reducing invasiveness.

Main Methods:

• The modified extracorporeal (transportal) technique was employed in six patients over three years.
• Procedures included ileal isolation, ureteral tailoring, and restoration of bowel continuity.
• Bowel and ureter exteriorization occurred through a 12-20 mm port, with hand-sewn anastomosis performed extracorporeally.

Main Results:

• No significant intraoperative or postoperative morbidity or mortality was observed.
• The transportal technique successfully avoided a formal abdominal incision.
• This method reduced operative time and was less demanding compared to laparoscopy-assisted techniques.

Conclusions:

• The transportal technique achieves the benefits of pure laparoscopic surgery without requiring a formal incision.
• It offers a less morbid, quicker, and more cost-effective surgical option.
• This technique is a valuable advancement in laparoscopy-assisted procedures.