Transumbilical scarless surgery with thoracic trocar: easy and low-cost.
10.4174/jkss.2013.84.6.360
- Author:
Ibrahim UYGUN
1
;
Mehmet Hanifi OKUR
;
Bahattin AYDOGDU
;
Mehmet Serif ARSLAN
;
Hasan CIMEN
;
Selcuk OTCU
Author Information
1. Department of Pediatric Surgery and Pediatric Urology, Dicle University Faculty of Medicine, Diyarbakir, Turkey. iuygun@hotmail.com
- Publication Type:Original Article
- Keywords:
Minimally invasive surgical procedures;
Laparoscopy;
Appendectomy
- MeSH:
Appendectomy;
Bone Wires;
Enema;
Female;
Gloves, Surgical;
Hernia, Diaphragmatic;
Humans;
Laparoscopy;
Lymphangioma;
Orchiectomy;
Orchiopexy;
Ovarian Cysts;
Retrospective Studies;
Splenectomy;
Surgical Instruments;
Surgical Procedures, Minimally Invasive;
Traction
- From:Journal of the Korean Surgical Society
2013;84(6):360-366
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Single-site laparoscopic surgery has become increasingly common. We herein report an easy and low-cost thoracic trocar technique (TTT) for these types of procedures and recommend the simpler name "transumbilical scarless surgery" (TUSS) to minimize confusion in nomenclature. METHODS: We retrospectively reviewed patients who underwent TUSS by TTT using a thoracic trocar and surgical glove in our hospital between November 2011 and November 2012. Operating time, postoperative stay, and complications were detailed. RESULTS: A total of 101 TUSS by TTT were successfully performed, comprising appendectomy (n = 63), ovarian cyst excision (n = 7), splenectomy (n = 5), nephroureterectomy (n = 5), orchidopexy (n = 4), pyeloplasty (n = 3), nephrolithotomy (n = 2), orchiectomy (n = 2), varicocelectomy (n = 2), lymphangioma excision (n = 2), ureterectomy (n = 1), Morgagni diaphragmatic hernia repair (n = 1), ovarian detorsion (n = 1), antegrade continence enema (n = 1), intestinal resection anastomosis (n = 1), and intestinal duplication excision (n = 1). Kirschner wires were used for some organ traction. Nine patients required an additional port, but no major complications occurred. The postoperative stay (mean +/- standard deviation) was 3.2 +/- 1.4 days, and operating time was 58.9 +/- 38.3 minutes. CONCLUSION: We recommend the simpler name of TUSS to minimize confusion in nomenclature for all transumbilical single-incision laparoendoscopic surgeries. TTT is an easy and low-cost TUSS technique.
