Abstract
Video Objective The objective of this video is to understand the advantages and disadvantages of single site versus multiport laparoscopy and identify the key steps to simplify the single site approach. Setting Academic medical center. Interventions Multiple studies have evaluated single-site versus traditional laparoscopy. While there are no differences in conversion rate, estimated blood loss, postoperative pain and length of hospital stay; it has been shown that single site laparoscopy has an increased operating time but is the preferred cosmetic approach. Using the same basic principles of laparoscopy and implementing them into single site laparoscopy, the surgery dynamics can be simplified and expedite the learning curve. This video will demonstrate these techniques of triangulation, visualization, traction-countertraction and purposeful movements. By visualizing this skillset directly, it will be easier to implement the key steps of single site laparoscopy when put into practice. Conclusion Executing this knowledge of simplification and fundamentals, surgeons will be able to avoid the frustrations of single-site laparoscopy so that these skills may be applied to better serve our patients.
Published Version
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