Alternative Port Site Selection (APSS) for Improved Cosmesis in Laparoscopic Surgery
Nestor de la Cruz-Muñoz, Leonidas G. Koniaris

- Dr. de la Cruz-Muñoz developed a technique that moves surgical incision sites to less visible areas of the body so that scars from laparoscopic surgery are easier to conceal.
- This technique was shown to be just as safe as traditional incision placement, with no increase in surgery time, complications, or need to convert to open surgery.
- The approach works for all types of laparoscopic surgery, not just weight loss procedures.
- This study was published in the Journal of Gastrointestinal Surgery, and Dr. de la Cruz-Muñoz is the lead author who originated the technique.
- For patients concerned about visible scarring after surgery, this research shows a commitment to the complete patient experience, not just the medical outcome.
This study published in the Journal of Gastrointestinal Surgery describes a novel technique for alternative port site selection (APSS) designed to improve cosmetic outcomes in laparoscopic surgery. Traditional laparoscopic port placement often results in visible scars in cosmetically prominent locations. The APSS technique provides a systematic approach to repositioning laparoscopic ports to less visible locations without compromising surgical access, visualization, or operative safety. Clinical outcomes demonstrated the technique can be safely implemented without increasing operative time, complication rates, or conversion to open surgery. The APSS technique is broadly applicable across all laparoscopic procedures, not just bariatric surgery.
de la Cruz-Muñoz N, Koniaris LG. Alternative Port Site Selection (APSS) for Improved Cosmesis in Laparoscopic Surgery. Journal of Gastrointestinal Surgery. 2010;14(12):2004-2008. doi:10.1007/s11605-010-1282-z. PMID: 20676792.






