Single incision laparoscopic surgery

Minimally invasive splenectomy: an update and review

“…[2][3][4][5][6] The breadth of minimally invasive splenectomy procedures now includes handassisted LS (HALS), natural orifice transluminal endoscopic surgery (NOTES), robot-assisted splenectomy and single-port access (SPA) splenectomy. [7][8][9][10][11][12][13][14][15] Currently, minimally invasive splenectomy is successfully performed for a variety of conditions, including idiopathic thrombocytopenic purpura, hereditary spherocytosis, autoimmune hemolytic anemia, thrombocytopenic purpura, Hodgkin and non-Hodgkin lymphoma, chronic lymphocytic leukemia, hemangiomas, idiopathic myelofibrosis, myelodysplastic syndrome, hairy cell leukemia, splenic abscess or cyst, and tuberculosis. 7,11,16,17 Other indications may include blunt trauma.…”

An Analysis of Skills Acquisition During a Training Program for Experienced Laparoscopists in Laparoendoscopic Single-Site Surgery

“…These include low triangulation, external clashing of vision system and instruments, and less traction capability, which ultimately leads to a worse surgical field exposure and an increase in ergonomic difficulties. [18][19][20] As an evolution from conventional minimally invasive techniques, LESS requires training just as it was recognized for laparoscopy in its early stages. Several training strategies for laparoscopy have been analyzed, [21][22][23] and specific guidelines have also been published.…”

NOTES, MANOS, SILS and other new laparoendoscopic techniques

“…Techniques of single incision and single port involve a major breakthrough for minimally invasive surgery, but they are a step backwards for the development of surgery without scars on the abdomen. It is a conceptual paradigm shift, a radical change in philosophy: from the desire to surgery without scars on the abdomen, to making a single incision but of considerable size and in an area such as the umbilical, with a high risk of incisional hernia [37] . With NOTES, we try to minimize incisions in the abdomen to the point where we can make them disappear.…”