Cholecystectomy by Single Trocar Access (SITRACC): The First Multicenter Study

Abstract

Background: The advent of endoscopic surgery has radically changed surgery worldwide.The concept of minimally invasive procedures has spread quickly, allowing less pain and more rapid recovery for patients. The authors have developed a device for a new surgical approach, the so-called single trocar access (SITRACC). This study report the first multicenter study of cholecystectomies performed with SITRACC. Methods: Between December 2008 and June 2009, 81 single trocar cholecystectomies were performed in 9 Brazilian surgery centers. Results: The average operative time was 68 minutes. In all, 10 surgeries required 1 additional trocar because of technical problems, and 3 cholecystectomies were converted to standard video laparoscopies. Conclusion: A cholecystectomy using the SITRACC method is feasible and safe.

Keywords

minimally invasive surgery cholecystectomy SITRACC

Get full access to this article

View all access options for this article.

References

Kalloo AN , Singh VK , Jagannath SB , et al. Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions. Gastrointest Endosc. 2004;60:114-117.

Asge / SAGES Working Group on Natural Orifice Translumenal Endoscopic Surgery. White paper. Gastrointest Endosc. 2006;63:199-203.

Martins Mvdc , Coelho DE , Coelho JF , Rios M. Initial experience with natural orifices transluminal endoscopic surgery. Rev Bras Video-Sur. 2006 ;4:75-77.

Zhu JF Scarless endoscopic surgery: NOTES or TUES. Surg Endosc . 2007;21:1898-1899.

Zhu JF , Hu H. , Ma YZ , Xu MZ , Li F. Transumbilical endoscopic surgery: a preliminary clinical report. Surg Endosc. 2009;23:813-817.

Palanivelu C. , Rajan PS , Rangarajan M. , Parthasarathi R. , Senthilnathan P. , Praveenraj P. Transumbilical endoscopic appendectomy in humans: on the road to NOTES: a prospective study . J Laparoendosc Adv Surg Tech A. 2008;18:579-582.

Martins MVD , Skinovsky J. , Coelho DE , Torres MF SITRACC-single trocar access: a new device for a new surgical approach. Bras J Video-Sur. 2008;1:61-63.

Kagaya T. Laparoscopic cholecystectomy via two ports, using the "Twin-Port" system. J Hepatobiliary Pancreat Surg. 2001 ;8:76-80.

Merchant AM , Cook MW , White BC , Davis SS , Sweeney JF , Lin E. Transumbilical Gelport access technique for performing single-incision laparoscopic surgery (SILS). J Gastrointest Surg. 2009;13:159-162.

10.

Kaouk JH , Haber GP , Goel RK , et al. Single-port laparoscopic surgery in urology: initial experience . Urology. 2008;71:3-6.