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Vol. 34. Issue 6.
Pages 495-499 (January 2010)
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Vol. 34. Issue 6.
Pages 495-499 (January 2010)
Early experience in laparoscopic radical prostatectomy using the laparoscopic device for umbilical access SILS Port®
Experiencia inicial en prostatectomía radical laparoscópica con el dispositivo de acceso laparoscópico umbilical Single-Incision Laparoscopic Surgery Port®
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J. Bachiller Burgosa,
Corresponding author
jaime.bachiller@sjd.es

Author for correspondence.
, J. Alonso Floresa, J. Sánchez De La Vegaa, V. Beltrán Aguilara, S. Salazar Oteroa, C. Bras Silvab
a Urology Service, Hospital San Juan de Dios del Aljarafe, Bormujos, Seville, Spain
b Urology Service, Hospital de San Marcos, Braga, Portugal
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Abstract

Since 2007, various urological procedures have been performed with laparoendoscopic single-site surgery (LESS surgery), includingnephrectomy, pyeloplasty, simple prostatectomy and, with the refinement of laparoscopic instrumentation, radical prostatectomy. This paper reports our initial experience in radical prostatectomy using the SILS™ Port from Covidiem and two lateral 5-mm trocars for triangulation. The SILS™ Port allows for accurate, simple insertion through a Hadson incision. The flexible port accomodates three 5-mm cannulas or two 5-mm cannulas and a 12-mm port for easier instrument exchange through a single incision. This approach decreases morbidity from bleeding, hernia and/or internal organ damage and improves cosmetic results.

One-port single-incision laparoscopy is part of the natural development of minimally invasive surgery. Future research is required to assess the intraoperative and postoperative benefits of LESS surgery as compared to standard laparoscopy.

Keywords:
Laparoendoscopic single-site surgery
Single-Incision Laparoscopic
Surgery™ Port
Laparoscopic radical prostatectomy
Resumen

Desde el año 2007 se están realizando distintos procedimientos en cirugía laparoendoscópica por puerto único (laparoendoscopic single-site surgery), incluyendo nefrectomía, pieloplastia, adenomectomía prostática y, con el perfeccionamiento del instrumental laparoscópico, prostatectomía radical. Presentamos nuestra experiencia inicial en prostatectomía radical laparoscópica utilizando el dispositivo Single-Incision Laparoscopic Surgery Port® de Covidien y 2 trocares auxiliares de 5mm colocados lateralmente para triangulación. El Single-Incision Laparoscopic Surgery Port® permite una inserción precisa y sencilla a través de una incisión de Hadson. El puerto flexible contiene 3 cánulas de 5mm o 2 cánulas de 5mm y una de 12mm para facilitar el intercambio de instrumental a través de la incisión única. Este abordaje disminuye la morbilidad por sangrado, hernias y/o lesión de los órganos internos y mejora los resultados cosméticos.

El puerto único forma parte del desarrollo natural de la cirugía mínimamente invasiva. Se necesita más experiencia para determinar los beneficios intra y postoperatorios de la cirugía laparoendoscópica por puerto único en comparación con la laparoscopia convencional.

Palabras clave:
Cirugía laparoendoscópica por puerto único
Single-Incision Laparoscopic
Surgery Port®
Prostatectomía radical laparoscópica

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