Abstract
Purpose: Most of the laparoscopic surgeons have been attempting to reduce incisional morbidity and improve cosmetic outcomes by using fewer and smaller ports. Single incision laparoscopic surgery is a new laparoscopic procedure. Herein we would like to present our experiences.
Materials and Methods: Between January 2009 and June 2009, datum of the 19 patients who operated via single incision laparoscopic surgery were evaluated prospectively.
Results: There were 19 patients (7 males and 12 females) with a mean age of 37.7 years. In 9 cases splenectomy, in 7 cases cholecystectomy and in 3 cases appendectomy was performed. The most common splenectomy indication was idiopathic trombocytopenic purpura. Single incision laparoscopic splenectomy was performed successfully in 8 cases. In one case it was converted to open procedure. There was no convertion in cholecystectomy and appendectomy.
Conclusion: In experienced hands of minimally invasive surgery, single incision laparoscopic surgery could be performed successfully.
Keywords:
Single incision, laparoscopy, surgery
References
1Langwieler TE, Nimmesgern T, Back M. Single-port access in laparoscopic cholecystectomy. Surg Endosc 2009;5:1138- 1141.
2Brodsky JA, Brody FJ, Walsh RM, Malm JA, Ponsky JL. Laparoscopic splenectomy. Surg Endosc 2002;5:851-854.
3Maartense S, Bemelman WA, Gerritsen van der Hoop A, Meijer DW, Gouma DJ. Hand-assisted laparoscopic surgery (HALS): a report of 150 procedures. Surg Endosc 2004;3:397-401.
4Irwin BH, Rao PP, Stein RJ, Desai MM. Laparoendoscopic single site surgery in urology. Urol Clin North Am 2009;2:223-235.
5Seven R, Barbaros U. Needloskopi yardımlı transvaginal kolesistektomi: İlk Ulusal N.O.T.E.S deneyimi. Ulusal Cerrahi Dergisi 2009;1:29-32.
6Barbaros U, Dinççağ A. Single Incision Laparoscopic Splenectomy: The First Two Cases. J Gastrointest Surg 2009. [Epub ahead of print]
7Chamberlain RS, Sakpal SV. A Comprehensive Review of Single-Incision Laparoscopic Surgery (SILS) and Natural Orifice Transluminal Endoscopic Surgery (NOTES) Techniques for Cholecystectomy. J Gastrointest Surg 2009. [Epub ahead of print]
8Mouret P. How I developed laparoscopic cholecystectomy? Ann Acad Med Singapore 1996;25:744-747.
9Filipovic-Cugura J, Kirac I, Kulis T, Jankovic J, Bekavac-Beslin M. Single-incision laparoscopic surgery (SILS) for totally extraperitoneal (TEP) inguinal hernia repair: first case. Surg Endosc 2009;4:920- 921.
10Merchant AM, Cook MW, White BC, Davis SS, Sweeney JF, Lin E. Transumbilical Gelport access technique for performing single incision laparoscopic surgery (SILS). J Gastrointest Surg 2009;1:159-162.
11Bucher P, Pugin F, Morel P. Transumbilical single-incision laparoscopic intracorporeal anastomosis for gastrojejunostomy: case report. Surg Endosc 2009;7:1667-1670.
12Reavis KM, Hinojosa MW, Smith BR, Nguyen NT. Single-laparoscopic incision transabdominal surgery sleeve gastrectomy. Obes Surg 2008;11:1492-1494.
13Bucher P, Pugin F, Morel P. Single port access laparoscopic right hemicolectomy. Int J Colorectal Dis 2008;10:1013-1016.
14Hodgett SE, Hernandez JM, Morton CA, Ross SB, Albrink M, Rosemurgy AS. Laparoendoscopic single site (LESS) cholecystectomy. J Gastrointest Surg 2009;2:188–192.
15Delaitre B, Bonnichon P, Barthes T, Dousset B. Laparoscopic splenectomy. The “hanging spleen technique” in a series of nineteen cases. Ann Chir 1995;6:471–476.
16Panait L, Bell RL, Duffy AJ, Roberts KE. Two-ports laparoscopic appendectomy: minimizing the minimally invasive approach. J Surg Res 2009;1:167-171.
17McCahill LE, Pellegrini CA, Wiggins T, Helton WS. A clinical outcome and cost analysis of laparoscopic versus open appendectomy. Am J Surg 1996;5:533-537.
