Minimally Invasive Surgery with No Visible Scar - Single Port / Single Incision Laparoscopy

Procedures

“This procedure requires usually 3 to 4 ports to perform laparoscopically because of the tissue dissection and suturing involved, however our new approach allows us to perform the entire procedure through one incision in the belly button. Autonomy™ Laparo-Angle™ enables development of “scar-less” surgeries, and the single port laparoscopic sacrocolpopexy is a great example of this enabling power. These devices make single-port surgery viable, even in the most complex cases. Making sacrocolpopexy and other similar procedures less invasive and virtually scar-less is a great benefit to patients.”

Jihad Kaouk, MD

Associate professor and Director of Robotic Urologic Surgery

Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH

Minimally Invasive Surgery with No Visible Scar - Single Port / Single Incision Laparoscopy

Autonomy™ Articulating Instrument takes the concept of minimally invasive surgery to a whole new level. The case for Single Port Laparoscopy / Single Incision Laparoscopy is compelling – one incision through the umbilicus instead of four or five…no visible scar, i.e., “scarless surgery.” Single Incision Laparoscopic Surgery is the next logical advance in MIS offering the potential of more rapid recovery and fewer post-surgical complications with fewer incisions. And Autonomy™ Articulating Instrument offers surgeons the maneuverability, control, and access that they currently enjoy with conventional laparoscopic surgery.

Whether you are performing a traditional or advanced Single Incision laparoscopic procedure, the Autonomy Comfort Handle offers unmatched advantages. These include "angle" locking mechanism, axial rotation, and a complete seven degrees of freedom for unparalleled access, superior manipulation of tissue, and easy triangulation in even the most challenging cases. With the Next Generation Autonomy Comfort Handle, performing procedures precisely and comfortably with one hand just got easier.

Laparo-Endoscopic Single Site (LESS) Cholecystectomy Procedures and Commentary:

Dr. Ninh T. Nguyen, M.D.

Associate Professor of Clinical Surgery

Chief, UC Irvine, Division of Gastrointestinal Surgery

Introduction and Instruments

Port Placement

Cholecystectomy

Cholecystectomy with Retraction of the Faliciform Ligament

Cholecystectomy with Internal Retraction of the Gallbladder

Conclusion

Video Publications:

Don J. Selzer Assistant Professor of Surgery Indiana University School of Medicine Clarian Bariatric Center	Laparoendoscopic Single-Site Surgery (LESS) Adjustable Gastric Band
Woo-Jung Lee, M.D. Professor, Yonsei University, Seoul, Korea	Single Port Cholecystectomy
Tony DiSciullo, Peter Rosenblatt Division of Urogynecology Mount Auburn Hospital	Laparoscopic Single-Incision Supracervical Hysterectomy with Transcervical Morcellation
Prof. Hyun Koo Kim, M.D. Korea University Hospital, Seoul, Korea	Single Incision Thoracoscopic Surgery for Mediastinal Mass Removal
Woong Kyu Han, M.D. and Hwang Gyun Jeon, M.D. Department of Urology, Yonsei University, Seoul, Korea	Laparoendoscopic Single-Site Surgery (LESS) Radical Nephrectomy
Jihad Kaouk, Georges-Pascal Haber, Raj Goel, Mihir Desai, Raymond Rackley, Courtney Moore, Jeffrey Palmer, Inderbir Gill Cleveland Clinic	Single-Port Laparoscopic Surgery in Urology: Initial Experience, AUA, 2008
Benjamin R. Lee, Ugur Boylu, Mathew Oommen, Gordon Fifer, Raju Thomas Department of Urology Tulane University School of Medicine	Single Incision Laparoscopic Renal Cryosurgery
Benjamin R. Lee, Ugur Boylu, Mathew Oommen, Raju Thomas Department of Urology Tulane University School of Medicine	Laparoscopic Single Port Partial Nephrectomy in Porcine Model

Related Articles and Resources

Laparoendoscopic Single-Site Urological Surgery Using a Homemade Single Port Device: The First 70 Cases Performed at a Single Center by One Surgeon, Seung Wook Lee, M.D.(1) and Joo Yong Lee, M.D.(2), (1)Department of Urology, Eulji Hospital, Eulji University College of Medicine, Seoul, Korea, (2)Department of Urology, Hanyang University College of Medicine, Seoul, Korea., Journal of Endourology, Volume 00 Number 00, XXXX 2011

The Fundamentals of Laparoscopic Surgery (FLS) Simulator as a platform for evaluating single port laparoscopic surgery and enabling instrumentation, Salman Al-Sabah, Melina Vassiliou, Yo Kurashima, Pepa A. Kaneva, Gerald M. Fried, Liane S. Feldman, McGill University Health Centre, Montreal, Canada, SAGES 2010

The Learning Curve for Single Port Intracorporeal Suturing in a Modified FLS Simulator, Salman Al-Sabah, Melina Vassiliou, Reitan Ribeiro, Yo Kurashima, Pepa A. Kaneva, Gerald M. Fried, Liane S. Feldman, McGill University Health Centre, Montreal, Canada, SAGES 2010

Laparoscopic Single Port Intracorporeal Suturing: Tips and Tricks, Salman Al-Sabah, Melina Vassiliou, Reitan Ribeiro, Yo Kurashima, Pepa A. Kaneva, Gerald M. Fried, Liane S. Feldman, McGill University Health Centre, Montreal, Canada, SAGES 2010

Laparoscopic Transumbilical Cholecystectomy Without Visible Abdominal Scars, Ninh T. Nguyen, Kevin M. Reavis, Marcelo W. Hinojosa, Brian R. Smith and Samuel E. Wilson, Journal of Gastrointestinal Surgery, August 16, 2008

Making a cost-effective access port for Single Incision surgeries

More Single Incision Procedures:

General Surgery	Gynecology	Urology
Cholecystectomy Suture retraction Autonomy Dissector Autonomy L-Hook	Hysterectomy Autonomy Scissors Dr. R. Sotelo, Venezuela	Nephrectomy Autonomy Scissors Dr. J. Kaouk, Cleveland Clinic
	Sacrocolpopexy Autonomy Needle Holder Autonomy Scissors Dr. J. Kaouk, Cleveland Clinic	Transvesicle Prostatectomy Autonomy Scissors Dr. R. Sotelo, Dr. M. Desai