By Shuodong Wu, Ying Fan, Yu Tian
This atlas provides an intensive selection of single-incision laparoscopic operations as a rule surgical procedure played from 2008 to 2013 in Shengjing health facility of China scientific collage. 2000 operations are suggested in it. all of the figures in it have been amassed utilizing genuine time recordings of the operations so that it will be quite attention-grabbing to the readers. In each one particular surgical procedure, authors supply its key surgical steps, problems and administration and contraindication. This atlas is meant for scientific surgeons who can evolve those operations quickly after interpreting approximately them. sufferers also will make the most of this publication as a result of the mixture of minimum invasiveness and beauty impact of single-incision laparoscopic surgery.
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Extra info for Atlas of Single-Incision Laparoscopic Operations in General Surgery
2011;27:359–66. Esophageal Surgery 5. Ostlie DJ, St Peter SD, Snyder CL, Sharp RJ, Andrews WS, Holcomb 3rd GW. A financial analysis of pediatric laparoscopic versus open fundoplication. J Laparoendosc Adv Surg Tech A. 2007;17:493–6. 6. Fan Y, Wu SD, Siwo EA. Emergency transumbilical single-incision laparoscopic splenectomy for the treatment of traumatic rupture of the spleen: report of the first case and literature review. Surg Innov. 2011;18:185–8. 7. Fan Y, Wu SD, Kong J. Single-port access transaxillary totally endoscopic thyroidectomy: a new approach for minimally invasive thyroid operation.
Placement of the suction drainage. After adequate flushing of the operative field, a closed suction drain was placed into the surgical field through the umbilical incision (Fig. 7a–d). 7 Tips and Tricks 1. To achieve adequate retraction of the liver, without resorting to the standard trocar placement, some methods have been invented to overcome this obstacle, such as a Jackson–Pratt drainage penetrated with a 2-0 Prolene and fixed with Kelly clamps at the skin, a Penrose drain tied with two silk sutures of 10 cm in length and fixed at the 15 skin or utilizing a 15-cm Veress needle, etc.
A b c d Fig. 7 Surgical Techniques 38 e Fig. 2 Laparoscopic Subtotal Gastrectomy (Billroth-IIanastomosis) 39 Continuous dissection to the left was done until the second terminal branch of the left gastroepiploic artery was reached (Fig. 8a, b). a Fig. 8 b 40 3 After previous mobilization, the left part of the gastrocolic ligament was freed. To expose the right gastroepiploic vein, continuous dissection to the right was performed until the antrum was reached. At the lower margin of the pancreas, the right gastroepiploic vein was first encountered, dissected, clipped and cut.