Single port laparoscopy in gastroenterology and hepatology: a fine step forward

World J Gastroenterol. 2014 Nov 14;20(42):15599-607. doi: 10.3748/wjg.v20.i42.15599.

Abstract

Single incision laparoscopy (SIL) has become an emerging technology aiming at a further reduction of abdominal wall trauma in minimally invasive surgery. Available data is encouraging for the safe application of standardized SIL in a wide range of procedures in gastroenterology and hepatology. Compared to technically simple SIL procedures, the merit of SIL in advanced surgeries, such as liver or colorectal interventions, compared to conventional laparsocopy is self-evident without any doubt. SIL has already passed the learning curve and is routinely utilized in expert centers. This minimized approach has allowed to enter a new era of surgical management that can not be acceded without a fruitful combination of prudent training, consistent day-to-day work and enthusiastic motivation for technical innovations. Both, basic and novel technical specifics as well as particular procedures are described herein. The focus is on the most important surgical interventions in gastroenterology and aims at reviewing the current literature and shares our experience in a high volume center.

Keywords: Gastroenterology; Hepatology; Minimal invasive surgery; Single incision laparoscopy; Single port surgery.

Publication types

  • Review

MeSH terms

  • Clinical Competence
  • Digestive System Surgical Procedures / adverse effects
  • Digestive System Surgical Procedures / classification
  • Digestive System Surgical Procedures / instrumentation
  • Digestive System Surgical Procedures / methods*
  • Equipment Design
  • Humans
  • Laparoscopes
  • Laparoscopy / adverse effects
  • Laparoscopy / classification
  • Laparoscopy / instrumentation
  • Laparoscopy / methods*
  • Learning Curve
  • Patient Selection
  • Risk Factors
  • Terminology as Topic
  • Treatment Outcome