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Reduced Port Laparoscopy: Getting Closer to Scar-Less Surgery
Proponents of single-incision laparoscopy share experiences and techniques at first annual symposium.
Published:June 8, 2011
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:
"Reduced port surgery is no better than multi-port, but it's as good. And the benefits are greater," said Dr. Curcillo in his presentation on single port access cholecystectomy on Monday, referring to the cosmetic and patient satisfaction benefits of his technique.
A strong advocate of an incremental approach to reduced port adoption, Dr. Curcillo recommends that surgeons begin by using familiar laparoscopic instruments and slowly working their way down from 4 ports to 3 to 2 to 1. "If you change one thing at a time, it's amazing over the course of time how much you can change without realizing it."
The Reduced Port Surgery Group plans to hold its next symposium in Bombay, India, in May 2012.
Photo: Paul Curcillo, MD, and Stephanie King, MD, of Philadelphia's Fox Chase Cancer Center perform reduced port laparoscopic surgery.
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