Open AccessReview of 500 single incision laparoscopic colorectal surgery cases - Lessons learned
Author(s) -
Deborah S. Keller,
Juan R. Flores-Gonzalez,
Sergio IbarraEspinosa,
Eric M. Haas
Publication year - 2016
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v22.i2.659
Subject(s) - medicine , laparoscopic surgery , surgery , colorectal surgery , general surgery , invasive surgery , laparoscopy , abdominal surgery
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.