Single-incision laparoscopy versus standard laparoscopy for colorectal surgery: A systematic review and meta-analysis

Short‐term and midterm outcomes of single‐incision laparoscopic surgery for right‐sided colon cancer

“…Although the conversion rate to other procedures (MPLS, reduced-port laparoscopic surgery, or OS) in previous studies of SILS was about 2%-11% (24)(25)(26)(27)(28)32), the rate in this study was much higher (28%). Although the conversion rate to other procedures (MPLS, reduced-port laparoscopic surgery, or OS) in previous studies of SILS was about 2%-11% (24)(25)(26)(27)(28)32), the rate in this study was much higher (28%).…”

“…Additional ports or laparoscopic needle forceps were required in 18 cases (28%) because of the presence of excessive visceral fat, dense adhesions, or invasion of other organs, which complicated the procedure. Although the conversion rate to other procedures (MPLS, reduced-port laparoscopic surgery, or OS) in previous studies of SILS was about 2%-11% (24)(25)(26)(27)(28)32), the rate in this study was much higher (28%). One of the reasons for the higher conversion rate in this study was our aim to maintain surgical quality by focusing on CME and central vessel ligation with D3 lymphadenectomy and to ensure the quality was comparable to that of MPLS.…”

“…Minor postoperative morbidity (small bowel obstruction, wound infection) was encountered in only three cases (5%). As reported in a meta-analysis, the overall rates of postoperative morbidity after SILS and MPLS for colorectal cancer are 14.1% and 13.4%, respectively (32). Therefore, the morbidity in this series was relatively low.…”

“…As reported in a meta-analysis, the overall rates of postoperative morbidity after SILS and MPLS for colorectal cancer are 14.1% and 13.4%, respectively (32). Minor postoperative morbidity (small bowel obstruction, wound infection) was encountered in only three cases (5%).…”

Re-operative Single Incision Laparoscopic Surgery: A Feasible Surgical Option in Highly Selected Clinical Setting

“…To date, there have been many favorable studies reporting the potential benefits of SILS over multi-port laparoscopic surgery in terms of less postoperative pain, reduction of morbidity, better cosmetic outcome, and better overall patient satisfaction. [1][2][3] In spite of previous studies, the true benefits of SILS over multi-port laparoscopic approach in major colorectal surgery remain unclear. Moreover, the obvious complexity in manipulating various surgical instruments through a single port requires an adequate learning period.…”