Gynecology

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Gynecology

Fig. 41.1 The port that was added to obtain higher multiusability 41.2.2 Addition of Ports for Improving Manipulability and the Rationale of RPLS that Opposes Such Additions The concept of…

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Anterior Resection of the Rectum

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Anterior Resection of the Rectum

Fig. 28.1 Set-up. (a) Body position. (b) Port positions 28.5.2 Port Position A single intraumbilical 25-mm incision is made, and a multi-access platform (MAP) is inserted. Nowadays, we tend to…

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Inguinal Hernia Repair: TAPP

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Inguinal Hernia Repair: TAPP

Fig. 32.1 The single trocar device (SILSTM port (Covidien)) is introduced in place Fig. 32.2 The SILSTM port (Covidien) is used with three 5-mm working channels: one for a roticulator…

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Appendectomy

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Appendectomy

Author Year Port Appendectomy Operative time Pain score (VAS score) Complications Hospital stay (h) SILA 3-port SILA 3-port SILA 3-port SILA 3-port St Peter 2011 Fascial puncture Extracorporeal 35 30…

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Distal Pancreatectomy

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Distal Pancreatectomy

Fig. 23.1 Operating room set-up. (a) Operator, (b) assistant, (c) nurse Fig. 23.2 Access through the umbilicus. (a) SILS Port™ (Covidien), (b) articulating grasper, (c) linear stapler, (d) 5-mm flexible…

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Breast Surgery

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Breast Surgery

Fig. 42.1 Visualization of sentinel nodes (SNs) and lymph ducts (LDs) by means of three-dimensional computed tomographic lymphography (3D-CT LG). Iopamidol is injected into the periareolar skin and the skin…

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Pancreatico-Jejunostomy

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Pancreatico-Jejunostomy

Fig. 24.1 The patient is placed in the supine position with legs split 24.5 Access Devices and Instrumentation RPLS can be performed in many ways using different access devices and…

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Incisional and Ventral Hernia Repair

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Incisional and Ventral Hernia Repair

Indications  Hernia with a minimum defect size of 3 cm  Symptomatic hernia Contraindications  Bowel injury  Intestinal strangulation  Intolerance to general anesthesia  Uncontrolled coagulopathy Closing the hernia orifice even under local…

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Access Device 2: Multi-Channel Port

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Access Device 2: Multi-Channel Port

Feature TriPort15™/TriPort+™/QuadPort+™ SILS™ Port GelPOINT™/GelPOINT™ Mini ENDOCONE®/X-Cone/S-PORT® OCTO™ Port SPIDER™ E•Z Access™/E•Z Access™ Oval x-GATE® Free Access Olympus Covidien Applied medical Karl Storz Dalim SurgNET TransEnterix Hakko Sumitomo Bakelite TOP…

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