Evolution of SILS Cholecystectomy in the Caribbean: The Direct Transfascial Puncture Technique Using Conventional Instruments without Working Ports
Joint Authors
Cawich, Shamir O.
Thomas, Dexter
Hassranah, Dale
Naraynsingh, Vijay
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-10-01
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1034968