Literature DB >> 23248453

The operating laparoscope: Time for a revival?

Philip Ng1.   

Abstract

Entities:  

Year:  2012        PMID: 23248453      PMCID: PMC3523463          DOI: 10.4103/0972-9941.103137

Source DB:  PubMed          Journal:  J Minim Access Surg        ISSN: 1998-3921            Impact factor:   1.407


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Dear Sir, I am grateful to Khosla and Ponsky for making the readership rediscover the usefulness of operating laparoscopes, in their nicely illustrated article. There are still many unused, forgotten, operating laparoscopes in the cupboards of most hospitals, which could be usefully recommissioned in these lean times. We had our own period of retro revival in the 1990s, when we described their usefulness in two publications. ‘Single-puncture gastrostomy’[1] and ‘One-puncture appendicectomy,’[2] and have used them ever since. The method works well in thin adults and in those whose mobile appendices reach the anterior abdominal wall. The main limitations are a zero degree telescope, with about equivalent fibrelight bundles of a 7 mm scope, to accommodate the instrument channel, which varies between 3.5 mm and 5 mm.[3] Admittedly the technology currently available for gel ports and instruments are much improved, allowing for much greater freedom of movement. Newer, longer, 30 degree or 45 degree–angled telescopes should improve vision further. The original single port, single-port access, single site, and single-puncture surgery precedes our own efforts by many years, and was pioneered by those who designed the operating telescope. Is the present single-port surgery trying to reinvent the wheel or just improve it?[3]
  3 in total

1.  Single Port Access (SPA) gastrostomy tube in patients unable to receive percutaneous endoscopic gastrostomy placement.

Authors:  Erica R Podolsky; Steven J Rottman; Paul G Curcillo
Journal:  Surg Endosc       Date:  2009-03-05       Impact factor: 4.584

2.  Single-puncture laparoscopic-assisted gastrostomy.

Authors:  P C Ng
Journal:  J Laparoendosc Adv Surg Tech A       Date:  1997-06       Impact factor: 1.878

3.  One-puncture laparoscopic appendectomy.

Authors:  P C Ng
Journal:  Surg Laparosc Endosc       Date:  1997-02
  3 in total

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