Single-incision Laparoscopic Surgery (SILS) in General Surgery

Single incision laparoscopic surgery (SILS) is a rapidly developing field that may represent the future of laparoscopic surgery. The major advantage of SILS over standard laparoscopic surgery is in cosmesis, with surgery becoming essentially scarless if the incision is hidden within the umbilicus. Only one incision is required so the risk of potential complications like port site hernias, haematomas and wound infection is reduced. The trade-off for this is a technically more challenging procedure with different underlying principles to that of traditional laparoscopic surgery. A wide variety of new equipment has been developed to support SILS and the range of procedures that are amenable to the technique is increasing. To date most of the published data relating to SILS are in the form of case series, with the first large randomised controlled trials due to be completed by the end of 2012. The existing evidence suggests that SILS is similar to standard laparoscopic surgery in terms of complication rates, completion rates and post-operative pain scores. However, the duration of SILS is longer than equivalent laparoscopic procedures. This article discusses SILS with regard to its applications in general surgery and reviews the evidence currently available.

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Single incision multiport laparoscopic appendectomy using a 2 mm alligator forceps: our experience of 60 cases

International Surgery Journal ◽

10.18203/2349-2902.isj20203260 ◽

2020 ◽

Vol 7 (8) ◽

pp. 2714

Author(s):

Srikant Patro ◽

Ashish K. Sahoo ◽

Nikhil Muduli ◽

Ashish K. Mishra ◽

Tapan Kumar ◽

...

Keyword(s):

Laparoscopic Surgery ◽

Prospective Study ◽

Laparoscopic Appendectomy ◽

General Surgery ◽

Operative Time ◽

Single Incision ◽

Single Incision Laparoscopic Surgery ◽

Medical College ◽

Post Operative Pain ◽

A Prospective Study

Single incision laparoscopic surgery is an emerging branch of minimally assess surgery to reduce scar and post-operative pain. Appendicitis is a common general surgical problem encountered in day to day practice. Different methods of appendectomy have been described by different surgeons from open to laparoscopic and now single incision laparoscopic surgery has been practised. This is a prospective study carried out in our Department of General Surgery SCB Medical College, Cuttack from February 2019 to March 2020; 60 patients had undergone the procedure and the results are published noted under headings of post-operative pain at (6 hours, 12 hours, 24 hours and 48 hours), post-operative requirement of analgesia (diclofenac) at (6 hours, 12 hours, 24 hours and 48 hours), operative time, days to resume bowel activity, days of hospital stay, post-operative complication in accordance to Clavien-Dindo classification.

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Single Incision Laparoscopic Surgery (SILS™) Sigmaresektion – eine gute Alternative zur konventionell laparoskopischen Methode?

Zentralblatt für Chirurgie - Zeitschrift für Allgemeine Viszeral- Thorax- und Gefäßchirurgie ◽

10.1055/s-0031-1288995 ◽

2011 ◽

Vol 136 (05) ◽

Author(s):

B Vestweber ◽

E Staub ◽

B Kaldowski ◽

J Giehl ◽

K Lammerting

Keyword(s):

Laparoscopic Surgery ◽

Single Incision ◽

Single Incision Laparoscopic Surgery

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Single Incision Laparoscopic Surgery (SILS) bei Patienten mit chronisch entzündlichen Darmerkrankungen (CED)

Zeitschrift für Gastroenterologie ◽

10.1055/s-0031-1285145 ◽

2011 ◽

Vol 49 (08) ◽

Author(s):

EJM Rijcken ◽

R Mennigen ◽

I Argyris ◽

N Senninger ◽

M Brüwer

Keyword(s):

Laparoscopic Surgery ◽

Single Incision ◽

Single Incision Laparoscopic Surgery

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Einzeitige Single-Incision-Laparoscopic-Surgery (SILS) Proktokolektomie mit Ileum-Pouch-analer-Anastomose (IPAA) bei therapierefraktärer Kolitis ulzerosa

Zeitschrift für Gastroenterologie ◽

10.1055/s-0035-1559489 ◽

2015 ◽

Vol 53 (08) ◽

Author(s):

S Fichtner-Feigl

Keyword(s):

Laparoscopic Surgery ◽

Single Incision ◽

Single Incision Laparoscopic Surgery

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A learning curve in using organ retractor for single-incision laparoscopic right colectomy

Scientific Reports ◽

10.1038/s41598-021-86168-4 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Toshio Shiraishi ◽

Tetsuro Tominaga ◽

Takashi Nonaka ◽

Kiyoaki Hamada ◽

Masato Araki ◽

...

Keyword(s):

Colon Cancer ◽

Laparoscopic Surgery ◽

Blood Loss ◽

Learning Curve ◽

Single Incision ◽

Operation Time ◽

Perioperative Outcomes ◽

Single Incision Laparoscopic Surgery ◽

Right Colon ◽

Right Colon Cancer

AbstractSingle-incision laparoscopic surgery (SILS) has the potential to improve perioperative outcomes, including less postoperative pain, shorter operation time, less blood loss, and shorter hospital stay. However, SILS is technically difficult and needs a longer learning curve. Between April 2016 and September 2019, a total of 198 patients with clinical stage I/II right colon cancer underwent curative resection. In the case of the SILS approach, an organ retractor was usually used to overcome SILS-specific restrictions. The patients were divided into two groups by surgical approach: the SILS with organ retractor group (SILS-O, n = 33) and the conventional laparoscopic surgery group (LAC, n = 165). Clinical T status was significantly higher in the LAC group (p = 0.016). Operation time was shorter and blood loss was lower in the SILS-O group compared to the LAC group (117 vs. 197 min, p = 0.027; 10 vs. 25 mL, p = 0.024, respectively). In the SILS-O group, surgical outcomes including operation time, blood loss, number of retrieved lymph nodes, and postoperative complications were not significantly different between those performed by experts and by non-experts. Longer operation time (p = 0.041) was significantly associated with complications on univariate and multivariate analyses (odds ratio 2.514, 95%CI 1.047–6.035, p = 0.039). SILS-O was safe and feasible for right colon cancer. There is a potential to shorten the learning curve of SILS using an organ retractor.

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