Authors: Paul G Curcillo
Publish Date: 2009/12/08
Volume: 24, Issue: 6, Pages: 1513-1513
Abstract
The Drexel University College of Medicine is a notforprofit subsidiary of Drexel University and is affiliated with Tenet Health System including Medical College of Pennsylvania Hospital Hahnemann University Hospital and St Christopher’s Hospital For Children wwwdrexeleduWe appreciate the comments regarding our recent article in Surgical Endoscopy In a number of these patients entering the area of the site from which the tube would exit as an initial entry site would not have been safe because of previous procedures An entry at the umbilicus was safer providing adequate visualization for optimal positioning and ensuring tight approximation to the abdominal wall Subsequently as an early stage in the development of single port access surgery all portions of the procedure with exception of actual tube placement were performed through a single port of entry at the umbilicus No special access device was used or necessaryWe also fully agree with your concerns about cost and expense In one of our earlier publications about SPA cholecystectomy we addressed this concern looking to the future 2 Subsequently with attention to this we have since begun performing virtually all of our single port access procedures with standard rigid instrumentation without the need for any specialized dissection devices or access devices that would add costs to the procedure 1 2 3 4 5 6 7 We feel strongly that as we move forward in the arena of reduced port surgery that costs should be controlled and the procedures should not be designed around instrumentationDrs Paul G Curcillo and Stephanie A King speak to Single Port Access Surgery for the following companies Storz Endoscopy Ethicon Inc Olympus Inc and Microline PGC only Drs Wu and Podolsky have no conflicts of interest or financial ties to disclose
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