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Related Experiment Video

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Single Port Donor Nephrectomy
07:17

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Published on: March 12, 2011

Combined surgical procedures using laparoendoscopic single-site surgery approach.

C Palanivelu1, Jasmeet Singh Ahluwalia, Praveenraj Palanivelu

  • 1Gastrointestinal and Laparoscopic Surgery, GEM Hospital, Coimbatore, India. gemhospital@gmail.com

Asian Journal of Endoscopic Surgery
|March 8, 2013
PubMed
Summary

Combined laparoendoscopic single-site (LESS) surgery offers cosmetic benefits and avoids extra ports compared to multiport laparoscopy. This approach is advantageous for patients requiring multiple procedures through a single umbilical incision.

Keywords:
Combined laparoscopycombined LESScombined procedures

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Innovation
  • Abdominal Surgery

Background:

  • Laparoendoscopic single-site (LESS) surgery offers cosmetic advantages and improved patient satisfaction over multiport laparoscopy.
  • The application of LESS for combined surgical procedures has not been previously emphasized.
  • This study highlights the benefits of LESS in combined surgical interventions.

Purpose of the Study:

  • To present the advantages of combined LESS procedures over traditional multiport laparoscopy.
  • To evaluate the feasibility and outcomes of combined LESS surgery.
  • To establish LESS as a viable option for multiple simultaneous abdominal procedures.

Main Methods:

  • Retrospective analysis of 27 patients undergoing combined LESS procedures.
  • Procedures performed between February 2010 and January 2012 at GEM Hospital, Coimbatore, India.
  • Inclusion criteria: ASA grade 1 or 2; exclusion: prior umbilical surgery.

Main Results:

  • Successful completion of 27 combined LESS procedures.
  • No major intraoperative complications reported.
  • Mean blood loss: 45.7 mL; Mean postoperative hospital stay: 3.08 days.

Conclusions:

  • Combined LESS surgery provides cosmetic benefits and eliminates the need for additional ports.
  • It allows adequate visualization and access to all abdominal quadrants through the umbilicus.
  • LESS is a suitable alternative for patients requiring multiple simultaneous surgical interventions.