par Dapri, Giovanni 
;Cadière, Guy-Bernard
Référence Single-Access Laparoscopic Surgery: Current Applications and Controversies, Springer International Publishing, page (71-87)
Publication Publié, 2014-05
;Cadière, Guy-Bernard Référence Single-Access Laparoscopic Surgery: Current Applications and Controversies, Springer International Publishing, page (71-87)
Publication Publié, 2014-05
Partie d'ouvrage collectif
| Résumé : | In the last decade, a new philosophy to be less invasive in minimally invasive surgery and to perform laparoscopy without visible scars invested surgeons, researchers, and companies. The main purpose was to improve the aesthetic, but the postoperative pain, the hospital stay, and the patient's convalescence were also attempted to be reduced. Natural orifice transluminal endoscopic surgery (NOTES) and single-access laparoscopy (SAL) were the two main fields for researches and investments. In this chapter, hiatal hernia repair with subsequent Nissen (360°) or Toupet (270°) fundoplication and gastric resections are described step by step using the transumbilical SAL. The procedures are performed with reusable trocars, conventional rigid scopes, and curved reusable instruments according to DAPRI (Karl Storz-Endoskope, Tuttlingen, Germany), which allow to maintain the cost of SAL like conventional multitrocar laparoscopy. Finally, the indications, contraindications, tips, and tricks of these SAL techniques are here reported. |
