Single‐incision laparoscopic surgery using the glove technique with improved maneuverability achieved through fulcrum creation via a simple ring technique

• Published in: Asian journal of endoscopic surgery Vol. 13; no. 1; pp. 131 - 133
• Main Authors: Yoshida, Makoto, Oshiro, Takafumi, Fukuda, Toshikatsu, Yano, Masatsugu, Ochi, Makoto, Okamoto, Yuzo, Ono, Eiji, Ohdan, Hideki
• Format: Journal Article
• Language: English
• Published: Kyoto, Japan John Wiley & Sons Australia, Ltd 01.01.2020; Wiley Subscription Services, Inc
• Subjects: Endoscopy; Humans; laparoscopic surgery; laparoscopic surgical procedure; Laparoscopy; Laparoscopy - instrumentation; Laparoscopy - methods; surgical instruments; laparoscopic surgical procedure; laparoscopic surgery; surgical instruments
• ISSN: 1758-5902; 1758-5910
• DOI: 10.1111/ases.12702

Introduction Single‐incision laparoscopic surgery (SILS) is widely used in many surgical procedures in various specialties. Among the access methods used in SILS, the glove technique, which is typically similar to the multi‐trocar approach, is simple, convenient, and inexpensive. However, given the absence of a fulcrum supporting the endoscopic surgical forceps, the technique is less advantageous than methods using commercially available access devices because of the poor maneuverability of the forceps. Materials and Surgical Technique By creating a fulcrum as a support to use with existing surgical forceps in the glove technique, we designed and used a novel method known as the “ring technique.” This technique aimed to improve the maneuverability of endoscopic surgical forceps. Discussion Placing a fulcrum resulted in the improvement of the forceps' maneuverability, which helped to ameliorate a weakness of the glove technique. The ring technique could be a useful option as a method of access in SILS.