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Initial experience with 50 laparoendoscopic single site surgeries using a homemade, single port device at a single center

 Hwang Gyun Jeon  ;  Wooju Jeong  ;  Cheol Kyu Oh  ;  Enrique Ian S. Lorenzo  ;  Won Sik Ham  ;  Koon Ho Rha  ;  Woong Kyu Han 
 JOURNAL OF UROLOGY, Vol.183(5) : 1866-1871, 2010 
Journal Title
Issue Date
Equipment Design ; Female ; Humans ; Intraoperative Complications ; Korea ; Laparoscopes* ; Laparoscopy/methods* ; Length of Stay/statistics & numerical data ; Male ; Middle Aged ; Postoperative Complications ; Prospective Studies ; Treatment Outcome ; Urologic Surgical Procedures/instrumentation*
laparoscopy ; instrumentation ; gloves ; surgical ; kidney ; ureter
PURPOSE: We report our technique of and initial experience with 50 patients who underwent laparoendoscopic single site surgery using a homemade single port device at a single institution.

MATERIALS AND METHODS: Between December 2008 and August 2009 we performed 50 laparoendoscopic single site surgeries using the Alexis wound retractor, which was inserted at the umbilical incision. A homemade single port device was made by fixing a size 7 1/2 surgical glove to the retractor outer ring and securing the glove fingers to the end of 3 or 4 trocars with a tie and a rubber band. A prospective study was performed in 50 patients to evaluate outcomes.

RESULTS: Of 50 patients 34 underwent conventional laparoendoscopic single site surgery, including radical and simple nephrectomy, and cyst decortication in 8 each, nephroureterectomy in 3, partial nephrectomy and adrenalectomy in 2 each, and partial cystectomy, ureterectomy and ureterolithotomy in 1 each, while 16 underwent robotic laparoendoscopic single site surgery, including partial nephrectomy in 11, nephroureterectomy in 3, and simple and radical nephrectomy in 1 each. Mean patient age was 52 years, mean body mass index was 23.4 kg/m(2), mean operative time was 201 minutes and mean estimated blood loss was 201 ml. Four intraoperative complications occurred, including 2 bowel serosal tears, diaphragm partial tearing and conversion to open radical nephrectomy. One case of postoperative bleeding was managed by transfusion. Surgical margins were negative in the 13 patients who underwent partial nephrectomy. Mean hospital stay was 4.5 days (range 1 to 16).

CONCLUSIONS: Our homemade single port device is cost-effective, provides adequate range of motion and is more flexible in port placement for laparoendoscopic single site surgery than the current multichannel port
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1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Rha, Koon Ho(나군호) ORCID logo https://orcid.org/0000-0001-8588-7584
Oh, Cheol Kyu(오철규)
Lorenzo, Enrique Ian(이안로렌조)
Jeon, Hwang Gyun(전황균)
Jeong, Woo Ju(정우주)
Han, Woong Kyu(한웅규) ORCID logo https://orcid.org/0000-0002-2527-4046
Ham, Won Sik(함원식) ORCID logo https://orcid.org/0000-0003-2246-8838
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