• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Comparision of Single-site and Traditional Laparoscopic Access for Intracorporeal Suturing and Knotting Technique

Comparision of Single-site and Traditional Laparoscopic Access for Intracorporeal Suturing and Knotting Technique

Istvan Gal, MDPhD, Zoltan Szabo, PhD, Miklos Czobel, MD, Gyorgy Weber, MD, PhD

Telki Privat Hospital, Telki Hungary, M.O.E.T. Institute, San Francisco, CA, USA,Department of Surgical Research and Technique,Semmelweis Medical School of Budapest, Hungarye

Single-site laparoscopy is recently developed and evolving technique in minimally invasive surgery. Severe physical and ergonomic constrains for the surgeon are often associated with this approach due to movement and access constrains of inserting multiple laparoscopic instruments together with the endoscope through a single access point. Difficulty in performing for laparoscopic intracorporeal suturing and knotting techniques can result which is a major limitation to popularity of single-site laparoscopy.

The authors designed this study, and collected data for it , at the 2012 SAGES Learning Center. Intracorporeal suturing and knotting techniques were compared using both conventional laparoscopic and single-site access approaches.

At the Suturing &VR Suturing Simulation Station of Learning Center the following instrumentation was used:the Szabo-Berci standard top training box, Szabo-Berci parrot and flamingo type needle holder and assistant instruments, 5mm- and 10mm -30 degree angled laparoscopes. After demonstration by one of the authors of a well prepared stich and square knot using a traditional laparoscopc access and the typical triangulating operating platform, participants attempted to perform the same technique. The performance times were measured.Following the first round evaluations, each paticipant performed the same task using a single-site access. The distance between the entry ports of working instruments was 18 cm at a typical traditional access, while it was only 4cm at the single-site setup.

Sixteen random visitors to the Suturing Station were involved in this study. Their mean age was 45.6 years ( 30-67 years).The average time for creating a stich and square knot differed dramatically between the two rounds. In the first round participants had an average performance time of 56.81±30.37 sec, while in the second round was125.12±79.54 sec ( p<0.003).

Authors conclude that suturing and knotting techniques using single-site access are higly significantly more time consuming than standard laparoscopic access if standard laparoscopic instruments are used. Novel single ports, surgical platform, instruments development and training are needed to overcome the drawbacks of this technique.


Session: Poster Presentation

Program Number: P377

111

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals