Single-Port Laparoscopic Surgery

The role of the laparoendoscopic single site totally extraperitoneal approach to inguinal hernia repairs: a review and meta-analysis of the literature

“…A range of key words are available to describe LESS techniques, and we used these terms to search for relevant material. 27 The main key words "single port," "single site surgery," "laparoendoscopic single site," "single port access," "single incision," "multiport" and "totally extraperitoneal hernia repair" were used in combination with the medical subject headings "hernia" and "inguinal hernia." Articles, reviews and meta-analyses that we considered irrelevant based on the titles and abstracts were excluded.…”

Single Incision Laparoscopic Surgery Development at the Hospital Clinic: Our 4-Year Experience

“…Although logical, the progression to more difficult procedures only when the surgeon is completely proficient in low-complexity ones has never been formally described nor tested for procedure results and safety. New techniques must have similar or better results than previously used techniques before being definitively adopted and replacing the old ones [8]. Patients in our study showed excellent results in terms of postoperative complications, pain and length of stay.…”

“…Although attractive, in several centers SILS has still not replaced conventional laparoscopic surgery because of its specific instruments and training needs [8]. However, a general introductory approach still does not exist and several options involving the use of conventional and articulated instruments [9] have been described, each one with its own advantages and drawbacks [10] [11].…”

“…Single-incision laparoscopic surgery (SILS) has emerged as the logical evolution in minimally invasive surgery by decreasing the amount of parietal injury to a minimal unique incision. However, SILS has still not replaced conventional laparoscopic surgery in many centers because of its special instruments requirements and training needs [8].…”

Laparoscopic Appendectomy

“…5.1 Novel techniques 5.1.1 Single port appendectomy Single-port-laparoscopy for acute appendicitis is reported to be safe and effective in children (Tam et al, 2010) and adults, and may have advantages in terms of cosmetic results and patient satisfaction (Barbaros et al;Lee YS, 2009;Raakow et al;Tsai & Selzer, 2010). We tried this approach on two patients but could not really see the benefits.…”