Published in:
01-07-2009 | Review
Single-port laparoscopic surgery: an overview
Authors:
John R. Romanelli, David B. Earle
Published in:
Surgical Endoscopy
|
Issue 7/2009
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Excerpt
As innovation continues to move 21st century surgery forward, one of the emerging concepts is single-port or single-incision laparoscopic surgery. The fundamental idea is to have all of the laparoscopic working ports entering the abdominal wall through the same incision. The major drawback to such a surgical approach is that the concept of “triangulation” to which laparoscopic surgeons have grown accustomed in terms of both the instruments and scope is lacking. This, however, seems to be overshadowed by the increasing acceptability of in-line viewing, with the reemphasis on surgeons performing flexible endoscopy and on newer ideas such as natural orifice translumenal endoscopic surgery (NOTES). …