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World J Gastroenterol. Jun 14, 2014; 20(22): 6878-6883
Published online Jun 14, 2014. doi: 10.3748/wjg.v20.i22.6878
Published online Jun 14, 2014. doi: 10.3748/wjg.v20.i22.6878
Laparoendoscopic single-site distal pancreatectomy in pigs
Dong Wang, Zhen-Ling Ji, Xiao-Hua Jiang, Jing-Min Wang, Yu-Yan Tan, Department of General Surgery, Zhongda Hospital, Institute for Minimally Invasive Surgery, Southeast University Medical School, Nanjing 210009, Jiangsu Province, China
Yan Wang, Department of Obstetrics and Gynecology, Zhongda Hospital, Southeast University Medical School, Nanjing 210009, Jiangsu Province, China
Ya-Zhou Wen, Department of Anesthesiology, Zhongda Hospital, Southeast University Medical School, Nanjing 210009, Jiangsu Province, China
Author contributions: Wang D performed the majority of experiments and wrote the manuscript; Ji ZL and Jiang XH designed the study and performed the critical part of the experiments; Wang JM provided the surgical instruments and was the operative assistant; Tan YY performed as the anesthesia assistant and collected the data of the study; Wang Y provided the surgical instruments and was also involved in editing the manuscript; Wen YZ provided narcotic drugs and performed the anesthesia management.
Correspondence to: Zhen-Ling Ji, Professor, Department of General Surgery, Zhongda Hospital, Institute for Minimally Invasive Surgery, Southeast University Medical School, 87 Ding jia qiao, Nanjing 210009, Jiangsu Province, China. zlji@seu.edu.cn
Telephone: +86-25-83262301 Fax: +86-25-83262301
Received: November 6, 2013
Revised: February 17, 2014
Accepted: March 19, 2014
Published online: June 14, 2014
Revised: February 17, 2014
Accepted: March 19, 2014
Published online: June 14, 2014
Core Tip
Core tip: Laparoendoscopic single-site surgery (LESS) is a rapidly evolving field in minimally invasive surgery. LESS requires specialized instruments and is a technically demanding procedure that is particularly challenging for pancreatic surgery. We present our surgical technique for laparoendoscopic single-site distal pancreatectomy in pigs using a novel flexible multichannel port, a curved laparoscopic multifunctional operative device and a fish hook retractor, which provided a favorable operative field. It is a safe and feasible procedure and can be implemented in humans in selected cases. To our knowledge, this is the first surgical series of laparoendoscopic single-site distal pancreatectomy in pigs reported in the literature.