Single-port cholecystectomy with the TransEnterix SPIDER: simple and safe

• DOI: 10.1007/s00464-009-0695-9
• Publication Date: 2009-09-15T18:05:41Z
• Authors: Aurora D. Pryor; John R. Tushar; Louis R. DiBernardo
• Keywords: Port (circuit theory); Gold standard (test)

Single-port or single-incision cholecystectomy with current rigid laparoscopic devices is limited by in-line visualization, restricting the ability to approach surgical site proper angles and instrumentation. A single-port access system articulating arms strong instrumentation should minimize these issues. The TransEnterix may facilitate safe straightforward surgery.The surgery was used in both survival nonsurvival porcine cholecystectomies under animal use committee approval. Nonsurvival procedures compared four standard from a histologic perspective. Five swine were completed sterile conditions, all animals survived for 1 week postoperatively. Standard clips cystic duct artery ligation. At sacrifice, gross microscopic histology obtained assessment of complications.All successfully system. Operative time averaged 39.4 (range 18-66) min. Histology acute specimens showed less inflammation at trocar sites cholecystectomy. no complications identified.The completing this series. Port reduced trocars.