Reduced Port Laparoscopy: Getting Closer to Scar-Less Surgery

In the quest for the Holy Grail of nearly scar-less minimally invasive surgery, 73 physicians and 5 veterinarians from 15 countries are gathering in Philadelphia this week to hear success stories, view technologies and learn techniques for what the event's organizers have dubbed "reduced port surgery."

The Reduced Port Surgery Group's first annual International Symposium and Lab, hosted by the husband-and-wife team of Paul Curcillo, MD, and Stephanie King, MD, of Philadelphia's Fox Chase Cancer Center, includes presentations and demonstrations from global leaders in minimally invasive general surgery, gynecology, urology, bariatrics, robotics and veterinary surgery.

The sessions are all focused on ways to reduce incisions, ports, pain and scarring in minimally invasive surgery through a veritable alphabet soup of innovative techniques: Single Port Access (SPA), Single Incision Laparoscopic Surgery (SILS), Laparo-Endoscopic Single-Site (LESS), and more. Although sanguine about the potential of these reduced port techniques to surpass NOTES (natural orifice translumenal endoscopic surgery) as the most viable nearly scar-less technique for abdominal and pelvic procedures, the presenters were also realistic about this still-emerging area of minimally invasive surgery.

Some takeaway points from the first day of presentations:

Current research shows that reduced port techniques for common general surgical procedures such as cholescystectomy are as good and as safe as multi-port laparoscopy, but there is not enough evidence to show that they're actually better from a clinical perspective.

The proven benefits of reduced port over multi-port laparoscopy are cosmetic: Operating through a single incision at the belly button makes these procedures virtually scar-less, which in turn boosts patient satisfaction.

Patients are increasingly aware of this option and are beginning to request reduced port surgery for the cosmetic benefits.

Reduced port surgery is not for everyone: Not all patients are good candidates for it, and not all surgeons will be proficient enough to perform it.

Robotic Surgery A Current Perspective - News


Reduced Port Laparoscopy: Getting Closer to Scar-Less Surgery

Current research shows that reduced port techniques for common general surgical procedures such as cholescystectomy are as good and as safe as multi-port laparoscopy, but there is not enough evidence to show that they're actually better from a clinical



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Robotic Surgery A Current Perspective - Bookshelf

Urologic Robotic Surgery

Urologic Robotic Surgery

Hemal AK, Menon M (2004) Robotics in urology. Curr Opin Urol 14:89–93. 2. Lafranco AR et al (2004) Robotic surgery a current perspective. ...

Pediatric Robotic Urology

Pediatric Robotic Urology

Lanfranco AR, Castellanos AE, Desai JP and Meyers WC: Robotic surgery: a current perspective. Ann Surg. 239: 14–21, 2004. 12. Le D, Woo, R., Albanese, ...

Nezhat's operative gynecologic laparoscopy and hysteroscopy

Nezhat's operative gynecologic laparoscopy and hysteroscopy

Robotic surgery: a current perspective. Ann Surg. 2004;239:14. 52. Temple MJ, Langer JC. Image-guided surgery for the pediatric patient:ultrasound, ...

Surgical Robotics, Systems Applications and Visions

Surgical Robotics, Systems Applications and Visions

Robot. Autom. 19(5) 765–781 (2003) 10. Lanfranco, AR, Castellanos, AE, Desai, JP , Meyers, WC: Robotic surgery a current perspective. Ann. Surg. ...

Medical simulation, international symposium, ISMS 2004, Cambridge, MA, USA, June 17-18, 2004 : proceedings

Medical simulation, international symposium, ISMS 2004, Cambridge, MA, USA, June 17-18, 2004 : proceedings

References 1. Lanfranco AR, Castellanos AE, Desai JP, Meyers W.: Robotic Surgery : A Current Perspective. Annals of Surgery, (2003) In Press. 2. ...

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