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. 2010:2010:598165.
doi: 10.1155/2010/598165. Epub 2010 Feb 18.

Cost reductive laparoendoscopic single site surgery endotrainer and animal lab training-our methodology

Manickam Ramalingam  1 , Kallappan Senthil, Anandan Murugesan, M G Pai
Affiliations

Cost reductive laparoendoscopic single site surgery endotrainer and animal lab training-our methodology

Manickam Ramalingam et al. Diagn Ther Endosc. 2010.

Abstract

Laparoendoscopic single site surgery (LESS) is a new avenue in laparoscopic urology. The main advantage is the enhanced cosmetic benefits of single hidden scar. Lately many papers are being published on various procedures done by LESS. Like conventional laparoscopy, this approach is likely to be used more widely and hence exposure to this field is essential. However, formal training in this technique is not widely available. Expensive ports and nonavailability of endotrainer may be the factors deterring the training. We have modified the standard laparoscopic endotrainer with improvised ports, to make it suitable for single port laparoscopic training. For the animal lab training improvised ports and low cost instruments were used. Thus the overall cost of the training in LESS was reduced, and better confidence levels were achieved prior to human applications.

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Figures

Figure 1
Figure 1
LESS endotrainer with modified port (1).
Figure 2
Figure 2
Modified LESS endotrainer port (2) being used for training.
Figure 3
Figure 3
Modified LESS endotrainer port (2).
Figure 4
Figure 4
Endotrainer in our center with modified single port (3).
Figure 5
Figure 5
Standard endotrainer with modified port (3).
Figure 6
Figure 6
LESS Endotrainer with modified port (3). Note the crowding of instruments.
Figure 7
Figure 7
LESS Endotrainer setup.
Figure 8
Figure 8
Single port endotrainer with angulated instruments.
Figure 9
Figure 9
Modified LESS port (4) lateral view.
Figure 10
Figure 10
Modified LESS port (4).
Figure 11
Figure 11
Orange dissection.
Figure 12
Figure 12
Chicken dissection in the LESS endotrainer.
Figure 13
Figure 13
Suturing in Bovine kidney.
Figure 14
Figure 14
LESS in live pig—in progress.
Figure 15
Figure 15
Modified single port in live animal.
Figure 16
Figure 16
Task Completion Time—Chart.
See this image and copyright information in PMC

References

    1. Raman JD, Bagrodia A, Cadeddu JA. Single-incision, umbilical laparoscopic versus conventional laparoscopic nephrectomy: a comparison of perioperative outcomes and short-term measures of convalescence. European Urology. 2009;55(5):1198–1206. - PubMed
    1. Kommu SS, Kaouk JH, Rané A. Laparo-endoscopic single-site surgery: preliminary advances in renal surgery. BJU International. 2009;103(8):1034–1037. - PubMed
    1. Mishra SK, Ganpule A, Kurien A, Muthu V, Desai MR. Task completion time: objective tool for assessment of technical skills in laparoscopic simulator for urology trainees. Indian Journal of Urology. 2008;24(1):35–38. - PMC - PubMed
    1. Wickham JEA. The Surgical Treatment of Renal Lithiasis in Urinary Calculus Disease. New York, NY, USA: Churchill Livingstone; 1979.
    1. Clayman RV, Kavoussi LR, Soper NJ, et al. Laparoscopic nephrectomy: initial case report. Journal of Urology. 1991;146(2):278–282. - PubMed

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