Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2011 Jan;2(1):11-7.
doi: 10.4103/0974-1216.85273.

Single-port access laparoscopic hysterectomy: a new dimension of minimally invasive surgery

Mereu Liliana  1 , Pontis Alessandro, Carri Giada, Mencaglia Luca
Affiliations

Single-port access laparoscopic hysterectomy: a new dimension of minimally invasive surgery

Mereu Liliana et al. J Gynecol Endosc Surg. 2011 Jan.

Abstract

The fundamental idea is to have all of the laparoscopic working ports entering the abdominal wall through the same incision. Single-incision laparoscopic surgery is an alternative to conventional multiport laparoscopy. Single-access laparoscopy using a transumbilical port affords maximum cosmetic benefits because the surgical incision is hidden in the umbilicus and reduces morbidity of minimally invasive surgery. The advantages of single-access laparoscopic surgery may include less bleeding, infection, and hernia formation and better cosmetic outcome and less pain. The disadvantages and limitations include longer surgery time, difficulty in learning the technique, and the need for specialized instruments. This review summarizes the history of SPAL hysterectomy (single-port access laparoscopy), and emphasizes nomenclature, surgical technique, instrumentation, and perioperative outcomes. Specific gynecological applications of single-port hysterectomy to date are summarized. Using the PubMed database, the English-language literature was reviewed for the past 40 years. Keyword searches included scarless, scar free, single-port/trocar/incision, single-port access laparoscopic hysterectomy. Within the bibliography of selected references, additional sources were retrieved. The purpose of the present article was to review the development and current status of SPAL hysterectomy and highlight important advances associated with this innovative approach.

Keywords: Hysterectomy; minimal access surgery; single-port access laparoscopy.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
A wound retractor and surgical glove
Figure 2
Figure 2
X-Cone
Figure 3
Figure 3
Endocone Cuschieri
Figure 4
Figure 4
TriPort
Figure 5
Figure 5
AirSeal
Figure 6
Figure 6
UNI-X
See this image and copyright information in PMC

References

    1. Bessler M, Stevens PD, Milone L, Parikh M, Fowler D. Transvaginal laparoscopically assisted endoscopic cholecystectomy: a hybrid approach to natural orifice surgery. Gastrointest Endosc. 2007;66:1243–5. - PubMed
    1. Inoue H, Takeshita K, Endo M. Single-port laparoscopy assisted appendectomy under local pneumoperitoneum condition. Surg Endosc. 1994;8:714–6. - PubMed
    1. Rao MM, Rao RK. Two-port and single port laparoscopic appendicectomy. (362,364).J Indian Med Assoc. 2004;102:360. - PubMed
    1. Gettman MT, Lotan Y, Napper CA, Cadeddu JA. Transvaginal laparoscopic nephrectomy: development and feasibility in the porcine model. Urology. 2002;59:446–50. - PubMed
    1. Kaouk JH, Haber GP, Goel RK, Desai MM, Aron M, Rackley RR, et al. Single-port laparoscopic surgery in urology: initial experience. Urology. 2008;71:3–6. - PubMed