Single Incision Laparoscopy Performance and Current Status in Surgical Practice
Abstract
The techniques of single-incision laparoscopic surgery (SILS) is developed and based on that of conventional laparo-endoscopic surgery. At first, surgeons wanted to devise a method for visceral surgery with no incision on body’s surface, which is called natural orifice transluminal endoscopic surgery (NOTES). As early as the 1970s, Dr. Raimund Wittmoser, the “father” of modern thoracoscopic surgery of the autonomic nervous system, used a single-intercostal incision through which he inserted a multifunctional port which contained all the instruments and optics. Another example of SILS in early times is the application of laparoscopic instrumentation to resect lesions in the rectum or sigmoid colon. Using the anus as the portal of entry, trans- anal endoscopic microsurgery (TEMS) employs a specialized multichannel trocar to reach lesions located 8 to 18 cm away from the anal verge. Compared to NOTES, SILS is easier, safer, more applicable and convenient for surgeons to master and the main reason is that physicians, but not surgeons always use endoscopes. However, laparoscope has been a tool for surgeons for a long time.
Downloads
References
2. Lv C, Wu S, Wu Y, Shi J, Su Y, Fan Y, et al. Single‑incision laparoscopic versus traditional multiport laparoscopic colorectal surgery – A cumulative meta‑analysis and systematic review. Int J Colorectal Dis 2013;28:611‑21.
3. Fan Y, Wu SD, Kong J, Chao W. Single‑incision laparoscopic splenectomy with conventional instruments: Preliminary experience in consecutive patients and comparison to standard multiple‑incision laparoscopic splenectomy. J Laparoendosc Adv Surg Tech A 2014;24:799‑803.
4. Shao XJ. Comparative study of single‑port laparoscopic splenectomy with conventional laparoscopic splenectomy surgery. China J Endosc 2014;20:805‑7.
5. Teubner O et al . prospective study comparing quality of life and cosmetic results between single port and conventional laproscopic cholecystectomy, Surg sci 2016,7,114 to 25.
6. Antoniou SA, Pointner R, Granderath FA. Single-incision laparoscopic cholecystectomy: a systematic review. Surg Endosc. 2011;25(1):367–77.
7. Evers L, Bouvy N, Branje D, Peeters A. Single- incision laparoscopic cholecystectomy versus conventional four-port laparoscopic cholecystectomy: a systematic review and meta-analysis. Surg Endosc. 2016;31(9):3437–48.
8. Brockhaus AC, Sauerland S, Saad S. Single-incision versus standard multiincision laparoscopic colectomy in patients with malignant or benign colonic disease: a systematic review, meta-analysis and assessment of evidence. BMC Surg. 2016;16:71.
9. Li HJ, Huang L, Li TJ, et al. Short-term outcomes of single-incision versus conventional laparoscopic surgery for colorectal diseases: meta-analysis of randomized and prospective evidence. J Gastrointest Surg. 2017;21:1931–45.
10. Yu H, Shin JY. Short-term outcomes following reduced-port, single-port, and multi-port laparoscopic surgery for colon cancer: tailored laparoscopic approaches based on tumor size and nodal status. Int J Color Dis. 2016;31:115–22.
11. Hirano Y, Hattori M, Douden K, et al. Single-incision laparoscopic surgery for colorectal cancer. World J Gastrointest Surg. 2016;8:95–100.
12. Keller DS, Ibarra S, Flores GJ, et al. Outcomes for single-incision laparoscopic colectomy surgery in obese patients: a case-matched study. Surg Endosc. 2016;30:739–44.
This work is licensed under a Creative Commons Attribution 4.0 International License.
