Single Incision Laparoscopic Surgery-An Overview and Current Status
- 1 Army College of Medical Sciences, New Delhi, India
Abstract
Single incision laproscopic surgery is an alternative to conventional multiport laproscopy. Natural orifice transluminal endoscopic surgery term coined by a Consortium in 2005 remains a research technique with few clinical cases. Single incision surgery offers advantage of better cosmesis, reduced incisions, lesser hernias, decreased pain and infections. Long learning curves and cost of instrumentation are the difficulties encountered in its propagation. Single incision laproscopic surgery is an evolving technique for advanced laproscopic centers. This article outlines the overview of devices and instruments and the techniques, feasibility of single incision laproscopic surgery.
- A. N. Kalloo, V. K. Singh, S. B. Jagannath, H. Niiyama, S. L. Hill, C. A. Vaughn, et al., “Flexible Transgastric Peritoneoscopy: A Novel Approach to Diagnostic and Therapeutic Interventions in the Peritoneal Cavity,” Gastrointestinal Endoscopy, Vol. 60, No. 1, 2004, pp. 114-117. doi:10.1016/S0016-5107(04)01309-4
- M. T. Gettman, Y. Lotan, C. A. Napper and J. A. Cadeddu, “Tansvaginal Laparoscopic Nephrectomy: Development and Feasibility in the Porcine Model,” Urology, Vol. 59, No. 3, 2002, pp. 446-450. doi:10.1016/S0090-4295(01)01568-0
- G. V. Rao, D. N. Reddy and R. Banerjee, “Notes: Human Experience,” Gastrointestinal Endoscopy Clinics of North America, Vol. 18, No. 2, 2008, pp. 361-370. doi:10.1016/j.giec.2008.01.007
- D. Rattner and A. Kalloo, “ASGE/SAGES Working Group on Natural Orifice Transluminal Endoscopic Surgery,” Surgical Endoscopy, Vol. 22, 2008, pp. 2279-2280.
- G. R. Limke, I. Tarantino, R. Hoetzel, R. Narschkow, J. Lange, R. Lachat, et al., “Tranvaginal Rigid-Hybrid NOTES Cholecystectomy: Evaluation in Routine Clinical Practice,” Endoscopy, Vol. 42, No. 7, 2010, pp. 571-575. doi:10.1055/s-0029-1244159
- G. P. Haber, S. Crowzet, K. Kamoi, A. Berger, M. Aron, R. Goel, et al. “Robotic NOTES (Natural Orifice Translumenal Endoscopic Surgery) in Reconstructive Urology: Initial Lab Experience,” Urology, Vol. 71, No. 6, 2008, pp. 996-1000. doi:10.1016/j.urology.2008.03.023
- K. Sumiyama, C. J. Gostout and M. T. Getlman, “Status of Access and Closure Techniques for NOTES,” Journal of Endourology, Vol. 23, No. 5, 2009, pp. 765-771. doi:10.1089/end.2008.0159
- G. Navarra, E. Pozza, S. Occhionorelli, P. Carcoforo and I. Donini, “One-Wound Laparoscopic Cholecystectomy,” British Journal of Surgery, Vol. 84, No. 5, 1997, p. 695. doi:10.1046/j.1365-2168.1997.02586.x
- A. Rane, P. Rao and P. Rao, “Single Port Access Nephrectomy and Other Laparoscopic Urologic Procedures Using a Novel Laparoscopic Port (R-Port),” Urology, Vol. 72, No. 2, 2008, pp. 260-263. doi:10.1016/j.urology.2008.01.078
- I. S. Gill, A. P. Advincula, M. Aron, J. Caddedu, D. Canes, P. G. Curcillo, et al., “Consensus Statement of the Consortium for Laparoendoscopic Single-Site Surgery,” Surgical Endoscopy, Vol. 24, No. 4, 2010, pp. 762-768. doi:10.1007/s00464-009-0688-8
- F. Bresadola, A. Pasqualucci, A. Donini, P. Chiarandini, G. Anania, G. Terrosu, et al., “Elective Transumblical Compared with Standard Laparoscopic Cholecystectomy,” European Journal of Surgery, Vol. 165, No. 1, 1999, pp. 29-34. doi:10.1080/110241599750007478