Single Port Laparoscopy - Applications

Applications

The SPL technique has been used to perform many types of surgery, including adjustable gastric banding, appendectomy, cholecystectomy, colectomy, hernia repair, hysterectomy, sleeve gastrectomy, nephrectomy, and sacrocolpopexy. SPL has been employed by surgeons at Cleveland Clinic for clinical trials and in the Geneva University Hospital in Switzerland. Although a number of single-incision techniques use specialized instrumentation, most SPL operations in the United States and Europe have used standard instrumentation. The TriPort+ can be inserted with its introducer through a 15 mm incision at the umbilicus. This device allows four instruments to be used simultaneously. During LESS cholecystectomy a fourth instrument becomes essential to gain critical view. Up until now surgeons have been inventive in how to retract the infundibulum; sutures and other novel means of retraction have all been reported. The instrument's channel allows for a fixed curved infundibular grasper to be added; this helps replicate the methodology currently being practised in traditional four-port laparoscopic cholecystectomy.