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Modified technique of laparoscopy-assisted surgeries (transportal)
Manickam Ramalingam1, Kallappan Senthill, M G Pai
1Urology Department, Urology Clinic, Coimbatore, Tamil Nadu, India. uroram@yahoo.com
Background And Purpose:
We present the role of the transportal technique of laparoscopy-assisted surgeries.This report highlights the advantages of transportal technique over pure laparoscopic surgeries and laparoscopy-assisted surgeries.
Patients And Methods:
In the last 3 years, we have adopted this approach for six patients during various procedures. This report highlights modified extracorporeal (transportal) technique, namely, ileal isolation, restoration of ileal continuity in ileal conduit and ileal ureter; ileal isolation, restoration of ileal continuity detubularization of the loop in ileocystoplasty; and ureteral tailoring in the megaureter before ureteral reimplantation. This technique was performed by transportal exteriorization of the bowel through the 12- or 15- or 20-mm port followed by the conventional technique of hand-sewn anastomosis. The bowel and ureter are restored to the abdominal cavity through the same port once the extracorporeal part is completed.
Results:
There was no significant intraoperative or postoperative morbidity or mortality. The transportal technique without a formal incision reduces operative time; is less demanding; and avoids an abdominal incision,as in the laparoscopy-assisted technique.
Conclusion:
The transportal technique of laparoscopy-assisted surgery achieves all the advantages of pure laparoscopic surgery without a formal incision, as in laparoscopy-assisted surgery. Hence, it is a less morbid, quicker, and cost-effective method.
