Abstract
The use of laparoscopy can be associated with improved cosmesis following a variety of gastrointestinal procedures versus standard open surgery. The placement of laparoscopic ports in less visible areas of the body such as the bikini line, termed alternative port site selection (APSS), may result in further improved cosmesis. Performance of laparoscopic procedures from such alternative port placement areas may be associated with increased technical challenge. This manuscript discusses APSS approaches for two common laparoscopic procedures, cholecystectomy and gastric banding. Familiarity and implementation of these techniques can allow select patients to undergo procedures with less visible scarring and is less challenging than laparoscopic single site approaches.
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Hodgett SE, Hernandez JM, Morton CA, et al. Laparoendoscopic single site (LESS) cholecystectomy. J Gastrointest Surg 2009; 13(2):188–92.
Box G, Averch T, Cadeddu J, et al. Nomenclature of natural orifice translumenal endoscopic surgery (NOTES) and laparoendoscopic single-site surgery (LESS) procedures in urology. J Endourol 2008; 22(11):2575–81.
Slim K, Pezet D, Chipponi J. Three-trocar laparoscopic cholecystectomy. J Laparoendosc Surg 1996; 6(2):135–6.
Trichak S. Three-port vs standard four-port laparoscopic cholecystectomy. Surg Endosc 2003; 17(9):1434–6.
Barreiro CJ, Lillemoe KD, Koniaris LG, et al. Diagnostic laparoscopy for periampullary and pancreatic cancer: what is the true benefit? J Gastrointest Surg 2002; 6(1):75–81.
Koniaris LG, Zimmers-Koniaris TA, Lillemoe KD, et al. A method for easier laparoscopic cholangiography and common bile duct exploration. J Am Coll Surg 2000; 190(6):752–6.
Khanna A, Koniaris LG, Nakeeb A, Schoeniger LO. Laparoscopic spleen-preserving distal pancreatectomy. J Gastrointest Surg 2005; 9(5):733–8.
Navarra G, La Malfa G, Bartolotta G, Curro G. The invisible cholecystectomy: a different way. Surg Endosc 2008; 22(9):2103.
Navarra G, Rando L, La Malfa G, et al. Hybrid transvaginal cholecystectomy: a novel approach. Am J Surg 2009; 197(6):e69–72.
Nguyen NT, Hinojosa MW, Smith BR, Reavis KM. Single laparoscopic incision transabdominal (SLIT) surgery—adjustable gastric banding: a novel minimally invasive surgical approach. Obes Surg 2008; 18(12):1628–31.
Tracy CR, Raman JD, Cadeddu JA, Rane A. Laparoendoscopic single-site surgery in urology: where have we been and where are we heading? Nat Clin Pract Urol 2008; 5(10):561–8.
Teixeira F, Jin HY, Rodrigues Júnior AJ (2003) Incisional hernia at the insertion site of the laparoscopic trocar: case report and review of the literature. Rev Hosp Clin Fac Med Sao Paulo 58:219–22.
Madeb R, Koniaris LG, Patel HR, et al. Complications of laparoscopic urologic surgery. J Laparoendosc Adv Surg Tech A 2004; 14(5):287–301.
Bowrey DJ, Blom D, Crookes PF, et al. Risk factors and the prevalence of trocar site herniation after laparoscopic fundoplication. Surg Endosc 2001; 15(7):663–6.
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de la Cruz-Munoz, N., Koniaris, L. Alternative Port Site Selection (APSS) for Improved Cosmesis in Laparoscopic Surgery. J Gastrointest Surg 14, 2004–2008 (2010). https://doi.org/10.1007/s11605-010-1282-z
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DOI: https://doi.org/10.1007/s11605-010-1282-z