| Single-access transumbilical laparoscopic nissen fundoplication performed with new curved reusable instruments. | |
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MedLine Citation:
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PMID: 21059609 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Introduction: The authors report a single-access laparoscopic Nissen fundoplication (SALN) performed with new curved reusable instruments. Case report: A 21-year-old woman sought care for symptomatic grade B esophagitis and hiatal hernia. A reusable 11-mm trocar was inserted in the umbilicus and a 10-mm, 30° angled, nonflexible, standard length scope was used. Curved reusable instruments (Karl Storz-Endoskope) were transumbilically introduced without trocars. The left hepatic lobe was retracted thanks to the distal curve of the grasper. The cruraplasty and wrap were performed using curved needle holder and intracorporeal sutures. RESULTS: No extraumbilical trocar was necessary. Laparoscopic time was 108 minutes, and umbilical scar length was 16 mm. Discharge was allowed after 48 hours. CONCLUSIONS: SALN is feasible to be performed with curved reusable instruments, which avoid the conflict between the instruments' tips inside the abdomen or between the surgeon's hands outside. Cost of the procedure remains similar to standard laparoscopy because only reusable material is used. |
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Authors:
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Giovanni Dapri; Jean Bruyns; Jacques Himpens; Guy Bernard Cadière |
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Publication Detail:
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Type: Journal Article Date: 2010-11-07 |
Journal Detail:
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Title: Surgical innovation Volume: 18 ISSN: 1553-3514 ISO Abbreviation: Surg Innov Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-03-29 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101233809 Medline TA: Surg Innov Country: United States |
Other Details:
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Languages: eng Pagination: 61-5 Citation Subset: IM |
Affiliation:
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Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Brussels, Belgium. giovanni@dapri.net. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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