Reply to: 10.1007/s00464-009-0382-x: Single Port Access (SPA) gastrostomy tube in patients unable to receive percutaneous endoscopic gastrostomy placement (2009 (23) 1142-1145).

摘要

We 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 necessary.