J Korean Med Assoc.  2010 Sep;53(9):793-806. 10.5124/jkma.2010.53.9.793.

Single port laparoscopic surgery

• Lee WJ

• KMID: 2188377
• DOI: http://doi.org/10.5124/jkma.2010.53.9.793

Abstract

Minimally invasive surgery and laparoscopic surgery have been used for more than 30 years, and are now popular even for some malignant diseases. There have been two developments in technology; one is robotic surgery and the other is less minimally invasive surgery like natural orifice transluminal endoscopic surgery (NOTES) and single port laparoscopic surgery. NOTES, using the current platform of a conventional fiberscope and side channel instruments for surgery, suffers many limitations, including image quality, flexibility of the fiberscope, size of the side channel, and difficulty of closing the opening. Due to the above-mentioned limitations, single port laparoscopic surgery has many advantages over. This review aims to define single port laparoscopic surgery and describe its terminology and technology. To perform single port laparoscopic surgery efficiently, new instruments (e.g., a laparoscopic camera, ports, laparoscopic instruments) and combining other innovative methods into surgery are both helpful. Even though there have been many developments in laparoscopic cameras, ports, and laparoscopic instruments to enhance single port laparoscopic surgery, further improvements are needed. Motorized instruments or using a robotic platform in combination with single port laparoscopic surgery will be another way to overcome the limitations of current single port laparoscopic surgery. Single port laparoscopic surgery is a technique that has recently emerged, but will be performed in a wider range of surgical procedures based on developments in laparoscopic cameras, ports and laparoscopic instrument technology.

Keyword

Single port laparoscopic surgery; Laparoscopic surgery; Minimally invasive surgery

MeSH Terms

Laparoscopy
Natural Orifice Endoscopic Surgery
Pliability

Figure

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  Figure 1 Picture of 45 cm 45° angled bariatric length laparoscope with right angle light cable adapter and Instrument (upper) and 34 cm Standard 45° angled laparoscope and instrument.

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  Figure 2 Picture of making Glove port with Wound retracter and globe and conventional trocars (A, B, C) and (D) Outside view of single port laparoscopic cholecystectomy.

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  Figure 3 Picture of OCTO™ Port (Dalim SurgNET Corp, Korea: www.octo-port.com/).

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  Figure 4 Picture of TriPort™ (ASC port, Olympus: www.advancedsurgical.ie/).

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  Figure 5 Picture of SILS™ Port (Covidien Inc, Norwalk, CT, USA: www.sils.com).

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  Figure 6 Uni-X™ Single Port Access with three working channels (Pnavel System, Inc).

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  Figure 7 Picture of AirSeal™ Port and Insufflator (SurgiQuest, Orange, CT, USA: www.surgiquest.com).

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  Figure 8 Picture of Glove Port (Nelis, Seoul, Korea).

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  Figure 9 (A) Picture of outer view during Single Port Laparoscopic Cholecystectomy using Glove port with 45°, 45 cm bariatric laparoscope and two 45 cm long instrument for retraction of GB fundus and Hartman's pouch and one Laparoangle instrument for dissection. (B) Picture of inner view during same operation.

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  Figure 10 Picture of Roticulator™ (Covidien, Norwalk, CT, USA : www.sils.com).

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  Figure 11 (A) Picture of Handle of Autonomy Laparoangle and (B) Picture of Slim Handle Model for Single Port Laparoscopic Surgery (CambridgeEndo, MA, USA: www.cambridgeendo.com).

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  Figure 12 Picture of Realhand (Novare Surgical, CA, USA: www.novaresurgical.com) idgeEndo, MA, USA: www.cambridgeendo.com).

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  Figure 13 HiQ LS curved 5 mm Hand Instruments (Olympus, Japan; www.olympus-global.com/en/news/2009b/nr091013lesse.html).

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