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Single port access (SPA) surgery--a 24-month experience.

Erica R Podolsky¹, Paul G Curcillo

¹Department of Surgery, College of Medicine, Drexel University, 219 North Broad Street, 10th Floor, Philadelphia, PA 19107, USA.

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract

|February 16, 2010

Summary

Single Port Access (SPA) surgery offers a minimally invasive alternative to traditional multiport procedures, with initial benefits including fewer incisions and improved cosmesis. Further research is needed to confirm long-term advantages.

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Area of Science:

Minimally Invasive Surgery
Laparoscopic Techniques

Background:

Single Port Access (SPA) surgery was initiated in April 2007, starting with simpler procedures and evolving to more complex interventions.
The technique involves a single abdominal incision, typically umbilical, for surgical access.

Purpose of the Study:

To evaluate the feasibility and outcomes of Single Port Access (SPA) surgery for a variety of abdominal procedures.
To assess the safety, efficacy, and potential benefits of SPA compared to multiport laparoscopy.

Main Methods:

The study involved performing various laparoscopic procedures including cholecystectomies, colon resections, and gastroesophageal junction surgery using a single umbilical incision.
Standard laparoscopic instrumentation was utilized throughout the procedures.
Data on operative times, blood loss, hospital stay, and complications were collected.

Main Results:

SPA surgery was successfully applied to a range of complex abdominal procedures, with minimal need for additional ports or articulation.
Initial operative times were longer but decreased with experience, indicating a learning curve.
Acceptable outcomes in blood loss and hospital stay were observed, with a low incidence of hernias at 2-year follow-up.

Conclusions:

Single Port Access (SPA) surgery is a viable alternative to multiport laparoscopy, offering benefits such as reduced incisions and enhanced cosmesis.
Long-term studies are required to definitively establish the advantages of SPA regarding pain, recovery, and hernia formation.