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Review
. 2016 Jan 14;22(2):659-67.
doi: 10.3748/wjg.v22.i2.659.

Review of 500 single incision laparoscopic colorectal surgery cases - Lessons learned

Deborah S Keller  1 , Juan R Flores-Gonzalez  1 , Sergio Ibarra  1 , Eric M Haas  1
Affiliations
Review

Review of 500 single incision laparoscopic colorectal surgery cases - Lessons learned

Deborah S Keller et al. World J Gastroenterol. .

Abstract

Single incision laparoscopic surgery (SILS) is a minimally invasive platform with specific benefits over traditional multiport laparoscopic surgery. The safety and feasibility of SILS has been proven, and the applications continue to grow with experience. After 500 cases at a high-volume, single-institution, we were able to standardize instrumentation and operative steps, as well as develop adaptations in technique to help overcome technical and ergonomic challenges. These technical adaptations have allowed the successful application of SILS to technically difficult patient populations, such as pelvic cases, inflammatory bowel disease cases, and high body mass index patients. This review is a frame of reference for the application and wider integration of the single incision laparoscopic platform in colorectal surgery.

Keywords: Laparoscopic colectomy; Minimally invasive colorectal surgery; Single-incision laparoscopic surgery.

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Figures

Figure 1
Figure 1
Single incision laparoscopic surgery colorectal set-up.
Figure 2
Figure 2
Single incision laparoscopic surgery + 1 approach for pelvic colorectal procedures.
Figure 3
Figure 3
Reduced port robotic assisted laparoscopic surgery.
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