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Optimizing single port surgery: a case report and review of technique in colon resection
Author(s) -
Singh Jasvinder,
Podolsky Erica R,
Castellanos Andres E,
Stein David E
Publication year - 2011
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.378
Subject(s) - umbilicus (mollusc) , surgery , computer science , port (circuit theory) , robotic surgery , resection , medicine , visualization , invasive surgery , artificial intelligence , engineering , electrical engineering
Background Minimally invasive colon surgery was first described in the early 1990s, decreasing the morbidity compared with open procedures. Recently, single port laparoscopy has emerged, with reports of applications to colon surgery. Although feasible, many new technical challenges exist. Methods An optimal operative technique for colon resection entirely through the umbilicus, using a robot and a GelPort is described. Results The robotic advantages of visualization and articulation minimize the disadvantages of single incision surgery. Programming the robotic arms in reverse decreases instrument clashing. In addition, the GelPort allows for trocar spacing and freedom of placement while providing a wound protector for specimen extraction. Conclusions As single port surgery develops, disadvantages must be overcome. Using a combination of the robot and GelPort, these disadvantages are addressed and minimized. Copyright © 2011 John Wiley & Sons, Ltd.