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Evolution of SILS Cholecystectomy in the Caribbean: The Direct Transfascial Puncture Technique Using Conventional Instruments without Working Ports
المؤلفون المشاركون
Cawich, Shamir O.
Thomas, Dexter
Hassranah, Dale
Naraynsingh, Vijay
المصدر
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-10-01
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Introduction.
Single incision laparoscopic cholecystectomy (SILC) has become accepted as an alternative to conventional multiport cholecystectomy.
However, SILC is still limited in applicability in low resource centres due to the expense associated with specialized access platforms, curved instruments, and flexible scopes.
Presentation of Case.
We present three cases where a modified SILC technique was used with conventional instruments and no working ports.
The evolution of this technique is described.
Discussion.
In order to contain cost, we used conventional instruments and three transfascial ports placed in an umbilical incision, but we noted significant instrument clashes that originated at the port platforms.
Therefore, we modified our technique by omitting ports for the working instruments.
The technique allowed us to exchange instruments as necessary, maximized ergonomics, and prevented collisions from the bulky port platforms.
Finally, the puncture left by the instrument alone did not require fascial closure at the termination of the procedure.
Conclusion.
The direct transfascial puncture using conventional laparoscopic instruments without working ports is a feasible option that minimizes cost and increases ergonomics.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Cawich, Shamir O.& Thomas, Dexter& Hassranah, Dale& Naraynsingh, Vijay. 2014. Evolution of SILS Cholecystectomy in the Caribbean: The Direct Transfascial Puncture Technique Using Conventional Instruments without Working Ports. Case Reports in Surgery،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1034968
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Cawich, Shamir O.…[et al.]. Evolution of SILS Cholecystectomy in the Caribbean: The Direct Transfascial Puncture Technique Using Conventional Instruments without Working Ports. Case Reports in Surgery No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1034968
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Cawich, Shamir O.& Thomas, Dexter& Hassranah, Dale& Naraynsingh, Vijay. Evolution of SILS Cholecystectomy in the Caribbean: The Direct Transfascial Puncture Technique Using Conventional Instruments without Working Ports. Case Reports in Surgery. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1034968
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1034968
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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