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
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.

PubMed Disclaimer

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.
See this image and copyright information in PMC

References

    1. Boni L, Dionigi G, Cassinotti E, Di Giuseppe M, Diurni M, Rausei S, Cantore F, Dionigi R. Single incision laparoscopic right colectomy. Surg Endosc. 2010;24:3233–3236. - PubMed
    1. Autorino R, Yakoubi R, White WM, Gettman M, De Sio M, Quattrone C, Di Palma C, Izzo A, Correia-Pinto J, Kaouk JH, et al. Natural orifice transluminal endoscopic surgery (NOTES): where are we going? A bibliometric assessment. BJU Int. 2013;111:11–16. - PubMed
    1. Bucher P, Pugin F, Morel P. Single port access laparoscopic right hemicolectomy. Int J Colorectal Dis. 2008;23:1013–1016. - PubMed
    1. Piskun G, Rajpal S. Transumbilical laparoscopic cholecystectomy utilizes no incisions outside the umbilicus. J Laparoendosc Adv Surg Tech A. 1999;9:361–364. - PubMed
    1. Remzi FH, Kirat HT, Kaouk JH, Geisler DP. Single-port laparoscopy in colorectal surgery. Colorectal Dis. 2008;10:823–826. - PubMed

LinkOut - more resources