title: Single-access laparoscopic surgery using new curved reusable instruments: initial hundred patients.
abstract: In recent years, laparoscopic surgery underwent a huge investment from both the clinical and research points of view to perform classic procedures through a single (S) incision or single port, resulting in the development of different instruments and ports. The main advantage of the S-access laparoscopy (SAL) is cosmesis. Future investigations will provide other potential advantages, such as improvement in postoperative pain and patient satisfaction. We report our initial experience on 115 patients utilizing a SAL (appendectomy, cholecystectomy, incisional hernia repair, Nissen fundoplication, upper gastrointestinal surgery, diagnostic laparoscopy, hepatic resection, splenectomy), along with the new curved reusable instruments (Karl Storz-Endoskope, Tuttlingen, Germany). The curves of the instruments enable the surgeon to work in an ergonomic position similar to classic laparoscopy, establishing a working triangulation inside the abdomen as well as outside. The cost of SAL is similar to classic laparoscopy as only reusable products are used.
authors.affiliation: Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Brussels, Belgium.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Dapri
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Casali
authors.forename: Jean
authors.initials: J
authors.lastname: Bruyns
authors.forename: Jacques
authors.initials: J
authors.lastname: Himpens
authors.forename: Guy-Bernard
authors.initials: GB
authors.lastname: Cadiere
mesh_terms: D004867:Equipment Design; D019544:Equipment Failure Analysis; D017743:Equipment Reuse; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000295:instrumentation* / Q000379:methods*; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation*