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Single Port Access (SPA™) Minimal Access Surgery Through a Single Incision.
Paul G Curcillo1, Stephanie A King, Erica R Podolsky
1Department of Surgery Director, Robotic and Minimally Invasive Surgery, Drexel University College of Medicine, Philadelphia, PA, USA.
Surgical Technology International
|July 7, 2009
Summary
Single Port Access (SPA™) surgery offers a novel approach to minimally invasive procedures, utilizing a single, small incision for various laparoscopic operations. This technique enhances patient recovery and cosmesis while employing standard surgical tools.
Area of Science:
- Minimally Invasive Surgery
- Surgical Innovation
- Laparoscopic Techniques
Background:
- Minimally invasive surgery has become standard, evolving from open procedures to laparoscopic approaches with smaller incisions.
- Advancements in laparoscopy include robotics and Natural Orifice Transluminal Endoscopic Surgery (NOTES).
- The trend towards fewer incisions is a natural progression in minimal access surgery.
Purpose of the Study:
- To introduce and describe the Single Port Access (SPA™) surgery technique.
- To demonstrate the potential of SPA™ as a new platform for minimal access surgery.
- To present the application of SPA™ across various surgical procedures and specialties.
Main Methods:
- Development of a novel abdominal entry technique for laparoscopic procedures.
- Utilizing standard laparoscopic instrumentation and surgical techniques.
- Performing procedures through a single incision, often less than 2 cm and hidden within the umbilicus.
Main Results:
- Successfully performed nearly 200 general surgical and gynecologic procedures using SPA™.
- Achieved "Independence of Motion" with up to four instruments through a single small incision.
- Maintained safety principles consistent with multiport laparoscopy.
Conclusions:
- SPA™ surgery represents a significant advancement in minimal access surgery.
- The technique's acceptance and development show its potential for broad application.
- SPA™ surgery offers improved cosmesis and decreased recovery times for patients.
