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Maneuverability of the Scope and Instruments within Three Different Single-Incision Laparoscopic Ports: An

Georg Haider1, Ursula Schulz2, Nikola Katic3

  • 1Small Animal Clinics, Vetmeduni Vienna, 1210 Vienna, Austria.

Animals : an Open Access Journal From MDPI
|April 30, 2021
PubMed
Summary

The glove port system offers superior maneuverability for surgical scopes and instruments compared to other single-port access systems (SPASs). This enhanced maneuverability is crucial for overcoming technical challenges in minimally invasive surgery.

Keywords:
SILSglove portmaneuverabilityrange of motionsingle-port access system

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Area of Science:

  • Surgical Technology
  • Minimally Invasive Surgery
  • Medical Device Engineering

Background:

  • Single-port access systems (SPASs) are utilized in human and veterinary surgery but present challenges like instrument crowding and limited maneuverability.
  • Existing research lacks comparative analysis of scope and instrument maneuverability across different SPASs.

Purpose of the Study:

  • To quantitatively compare the maneuverability of three distinct SPASs: Covidien SILS-port, Storz Endocone, and glove port.
  • To assess how maneuverability is affected by the introduction of both an endoscope and an additional instrument within these systems.

Main Methods:

  • A controlled laboratory setup mimicked the abdominal cavity using a clear acrylic box with artificial skin.
  • A motion analysis system with 18 cameras and specialized software tracked endoscope and instrument movements.
  • Maneuverability was quantified by calculating the 3D movement volume, with larger volumes indicating greater dexterity.

Main Results:

  • The glove port system demonstrated significantly higher endoscope-alone maneuverability compared to the SILS-port and Endocone.
  • While maneuverability decreased in the SILS-port and Endocone with an added instrument, the glove port maintained its maneuverability.
  • The glove port system exhibited the greatest overall maneuverability among the tested SPASs.

Conclusions:

  • The glove port system provides superior maneuverability for surgical instruments and endoscopes in a simulated surgical environment.
  • This finding suggests the glove port may offer advantages in overcoming maneuverability limitations associated with other SPASs.
  • Further clinical evaluation is warranted to confirm the benefits of glove port systems in actual surgical procedures.