Flexible single-incision surgery: a fusion technique
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José F Noguera1, Carlos Dolz, Angel Cuadrado
1Consorcio Hospital General Universitario de Valencia, Valencia, Spain. drjfnoguera@hotmail.com
Introduction:
The development of natural orifice transluminal endoscopic surgery has led to other techniques, such as single-incision surgery. The use of the flexible endoscope for single-incision surgery paves the way for further refinement of both surgical methods.
Objective:
To describe a new, single-incision surgical technique, namely, flexible single-incision surgery.
Patients And Methods:
Assessment of the safety and effectiveness of endoscopic cholecystectomy in a series of 30 patients. This technique consists of a single umbilical incision through which a flexible endoscope is introduced and consists of 2 parallel entry ports that provide access to nonarticulated laparoscopic instruments.
Results:
The technique was applied in all patients for whom it was prescribed. No general or surgical wound complications were noted. Surgical time was no longer than usual for single-port surgery.
Conclusions:
Flexible single-incision surgery is a new single-site surgical technique offering the same level of patient safety, with additional advantages for the surgeon at minimal cost.