Modified technique of laparoscopy-assisted surgeries (transportal).
OBJECTIVE
We present the role of the transportal technique of laparoscopy-assisted surgeries.This report highlights the advantages of transportal technique over pure laparoscopic surgeries and laparoscopy-assisted surgeries.


METHODS
In the last 3 years, we have adopted this approach for six patients during various procedures. This report highlights modified extracorporeal (transportal) technique, namely, ileal isolation, restoration of ileal continuity in ileal conduit and ileal ureter; ileal isolation, restoration of ileal continuity detubularization of the loop in ileocystoplasty; and ureteral tailoring in the megaureter before ureteral reimplantation. This technique was performed by transportal exteriorization of the bowel through the 12- or 15- or 20-mm port followed by the conventional technique of hand-sewn anastomosis. The bowel and ureter are restored to the abdominal cavity through the same port once the extracorporeal part is completed.


RESULTS
There was no significant intraoperative or postoperative morbidity or mortality. The transportal technique without a formal incision reduces operative time; is less demanding; and avoids an abdominal incision,as in the laparoscopy-assisted technique.


CONCLUSIONS
The transportal technique of laparoscopy-assisted surgery achieves all the advantages of pure laparoscopic surgery without a formal incision, as in laparoscopy-assisted surgery. Hence, it is a less morbid, quicker, and cost-effective method.
Ramalingam
Manickam
M
Urology Department, Urology Clinic, Coimbatore, Tamil Nadu, India. uroram@yahoo.com
Senthill
Kallappan
K
Pai
M G
MG
D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D015607:Stents; D013525:Surgical Instruments; D013997:Time Factors; D014513:Ureter / Q000601:surgery; D014547:Urinary Diversion; D013520:Urologic Surgical Procedures / Q000379:methods*