Introduction of Single Port Laparoscopic Surgery in our Hospital: SILS Port, GelPOINT, EZ Access, and the Glove Methods

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  • Abe Yayoi
    Department of Obstetrics and Gynecology, Juntendo Nerima Hospital
  • Ota Tsuyoshi
    Department of Obstetrics and Gynecology, Juntendo Nerima Hospital Department of Obstetrics and Gynecology, Kobari General Hospital
  • Sano Yasuko
    Department of Obstetrics and Gynecology, Juntendo Nerima Hospital
  • Shiozawa Masayuki
    Department of Obstetrics and Gynecology, Juntendo Nerima Hospital
  • Sakamoto Shoko
    Department of Obstetrics and Gynecology, Juntendo Nerima Hospital
  • Fujioka Shisui
    Department of Obstetrics and Gynecology, Juntendo Nerima Hospital
  • Suga Naoko
    Department of Obstetrics and Gynecology, Juntendo Nerima Hospital
  • Tanaka Satomi
    Department of Obstetrics and Gynecology, Juntendo Nerima Hospital
  • Yata Shotaro
    Department of Obstetrics and Gynecology, Juntendo Nerima Hospital
  • Nagata Rie
    Department of Obstetrics and Gynecology, Juntendo Nerima Hospital
  • Nagano Hiroshi
    Department of Obstetrics and Gynecology, Kobari General Hospital
  • Sakurai Akihiro
    Department of Obstetrics and Gynecology, Sakura Ladies Clinic
  • Ogishima Daiki
    Department of Obstetrics and Gynecology, Juntendo Nerima Hospital

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Other Title
  • 当院における単孔式腹腔鏡手術導入の試み
  • ーSILS™ Port、GelPOINT、EZアクセス、グローブ法の4方法を用いた比較検討－

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Abstract

For increasing the degree of minimally invasive therapy, reduction of the number of ports has been performed. A number of advantages have been proposed, including the cosmetic result, less incisional pain, and the ability to convert to a standard multiport laparoscopic surgery if necessary. However, the procedure has an increased level of technical difficulty because the distance between the ports is significantly less than with the conventional multiport laparoscopic procedure. Therefore, various surgical techniques and an exclusive platform have been developed. We compared the homemade glove method (glove method) with three commercial items. We reviewed 32 cases of single port laparoscopic surgery performed from April 2012 through August 2013 in our hospital Four methods, SILS™ Port, GelPOINT, EZ access, and the glove method, were compared. The size of the wound, setup time, surgery time, amount of intraoperative bleeding, and cost were assessed. The forceps and scissors that we used, were the conventional straight type. There was no significant difference between the four methods in regard to the size of wound, setup time, surgery time, or the amount of intraoperative bleeding. We found that the glove method was the most useful of the four methods because of its flexibility of trocar use. The glove method and the EZ access method are cheaper than the other two. In single port laparoscopic surgery using straight forceps, we concluded that the glove method is superior to the other three; therefore, we have we adopted the glove method as the method of choice. We plan to accumulate additional cases, devise procedures, and consider expansion of its adaptation.

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