SCIENTIFIC WORK: ARTICLES
Aug, 2010Training for laparoendoscopic single-site surgery (LESS)
Laparoendoscopic single-site surgery (LESS) is a laparoscopic surgery in which a single small incision is made, associated with the use of a special device (single-port), or several small incisions grouped in one location (single-incision) are made, through which the laparoscopic trocars are inserted.
The incision is made in the abdomen, preferably in the umbilicus. Certain peculiarities are noted in this approach, such as the difficulty, and sometimes the impossibility, of centering the image, the need to move both the camera and instruments together, requiring even more delicate and precise movements than in laparoscopy. Since information on training for LESS is scarce in the current literature, the authors report their experience with five different cases of this nature, performed in two porcine models, and then discuss a training plan for LESS.
Enrico Mattana Müller, Leandro Totti Cavazzola,*, João Vicente Machado Grossi, Mirandolino Batista Mariano, Cláudio Morales, Maurício Brun
