Transanal Single Port Surgery: Selecting a Suitable Access Port in a Porcine Model

被引：8
作者：
Barendse, Renee M. [1 ]
Verlaan, Tessa
Bemelman, Willem A.
Fockens, Paul
Dekker, Evelien
Nonner, Joost [2 ]
de Graaf, Eelco J. R. [2 ]
机构：
[1] Univ Amsterdam, Acad Med Ctr, Dept Gastroenterol & Hepatol, NL-1105 AZ Amsterdam, Netherlands
[2] Ijsselland Hosp, Capelle Aan Den Ijssel, Netherlands
来源：
SURGICAL INNOVATION | 2012年 / 19卷 / 03期
关键词：
SILS; single site surgery; colorectal surgery; interventional endoscopy; ENDOSCOPIC MICROSURGERY; EXCISION; RESECTION;
D O I：
10.1177/1553350611425507
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Single port surgery of rectal tumors may be associated with a shorter learning curve and fewer costs than transanal endoscopic microsurgery. The authors aimed to select the most optimal single access port for transanal employment. Four single access ports (GelPOINT, TriPort, SSL Access System, and SILS) were tested in 2 pigs. Insertion feasibility and intraoperative features of each port were assessed. A rectal excision was attempted using the most suitable port. Insertion of GelPOINT was impossible. SILS and TriPort were easily inserted; however, insufficient stability demanded manual fixation. CO2 leaked through the TriPort trocar ports. Insertion of the 2-cm SSL Access System retractor was difficult, but pneumorectum and surgical circumstances were favorable. Single port transanal surgery may be a promising alternative for transanal endoscopic microsurgery. The SSL Access System was found the most suitable for this indication in a porcine model.
引用
收藏
页码：323 / 326
页数：4
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