The Role of Single-incision Laparoscopic Surgery in Abdominal and Pelvic Surgery: a Systematic Review

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2010 Jul 13

PMID 20623239

Citations 46

Authors

Kamran Ahmed

Tim T Wang

Vanash M Patel

Kamal Nagpal

James Clark

Mariam Ali

Samer Deeba

Hutan Ashrafian

Ara Darzi

Thanos Athanasiou

Paraskevas Paraskeva

Affiliations

Soon will be listed here.

Abstract

Objective: This review aimed to determine the role of single-incision laparoscopic surgery (SILS) in abdominal and pelvic operations.

Data Sources: The Medline, EMBASE, and PsycINFO databases were systematically searched until October 2009 using "single-incision laparoscopic surgery" and related terms as keywords. References from retrieved articles were reviewed to broaden the search

Study Selection: The study included case reports, case series, and empirical studies that reported SILS in abdominal and pelvic operations.

Data Extraction: Number of patients, type of instruments, operative time, blood loss, conversion rate, length of hospital stay, length of follow-up evaluation, and complications were extracted from the reviewed items

Data Synthesis: The review included 102 studies classified as level 4 evidence. Most of these studies investigated SILS in cholecystectomy (n=34), appendectomy (n=24), and nephrectomy (n=17). For these procedures, operative time, hospital stay, and complications were comparable with those of conventional laparoscopy. Conversion to conventional laparoscopy was seldom performed in cholecystectomy (range, 0-24%) and more frequent in appendectomy (range, 0-41%) and nephrectomy (range, 0-33%).

Conclusion: The potential benefits of SILS include superior cosmesis and possibly shorter operative time, lower costs, and a shortened time to full physical recovery. Careful case selection and a low threshold of conversion to conventional laparoscopic surgery are essential. Multicenter, randomized, prospective studies are needed to compare short- and long-term outcome measures against those of conventional laparoscopic surgery.

Citing Articles

Evolution of minimally invasive cholecystectomy: a narrative review.

Nam C, Lee J, Kim J, Lee T, Yoon Y BMC Surg. 2024; 24(1):378.

PMID: 39609785 PMC: 11606199. DOI: 10.1186/s12893-024-02659-x.

Evaluating Patient Satisfaction and Quality of Life After Undergoing Laparoscopic Cholecystectomy in Al-Qunfudhah Governorate, Saudi Arabia.

Taha M, Aleesa B, Algarni M, Alomari S, Alzubidy S Cureus. 2024; 16(6):e62276.

PMID: 39006686 PMC: 11245630. DOI: 10.7759/cureus.62276.

Assessing the learning curve for transumbilical single-site laparoscopy for endometrial cancer.

Li F, Zheng Y, Yang F, Liu J Front Oncol. 2024; 14:1337719.

PMID: 38361776 PMC: 10867325. DOI: 10.3389/fonc.2024.1337719.

A retrospective cohort report of single-incision laparoscopic cholecystectomies in Saudi Arabia: Postoperative outcomes and patient satisfaction.

Terro K, Baroudi M, Alsaoud R, Sabbah B, Abunimer A, Abduljawad S Ann Med Surg (Lond). 2022; 81:104245.

PMID: 36147120 PMC: 9486375. DOI: 10.1016/j.amsu.2022.104245.

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

Shiraishi T, Tominaga T, Nonaka T, Hamada K, Araki M, Sumida Y Sci Rep. 2021; 11(1):6546.

PMID: 33753808 PMC: 7985516. DOI: 10.1038/s41598-021-86168-4.

References

Cuesta M, Berends F, Veenhof A . The "invisible cholecystectomy": A transumbilical laparoscopic operation without a scar. Surg Endosc. 2007; 22(5):1211-3. DOI: 10.1007/s00464-007-9588-y. View

Leroy J, Cahill R, Peretta S, Marescaux J . Single port sigmoidectomy in an experimental model with survival. Surg Innov. 2008; 15(4):260-5. DOI: 10.1177/1553350608324509. View

Knapp Jr P, Siegel Y, Lingeman J . Laparoscopic retroperitoneal needle suspension urethropexy. J Endourol. 1994; 8(4):279-84. DOI: 10.1089/end.1994.8.279. View

Rassweiler J . Editorial comment on: Single-incision, umbilical laparoscopic versus conventional laparoscopic nephrectomy: a comparison of perioperative outcomes and short-term measures of convalescence. Eur Urol. 2008; 55(5):1205. DOI: 10.1016/j.eururo.2008.08.020. View

Guo W, Zhang Z, Han W, Li J, Jin L, Liu J . Transumbilical single-port laparoscopic cholecystectomy: a case report. Chin Med J (Engl). 2008; 121(23):2463-4. View

de la Torre R, Satgunam S, Morales M, Dwyer C, Scott J . Transumbilical single-port laparoscopic adjustable gastric band placement with liver suture retractor. Obes Surg. 2009; 19(12):1707-10. DOI: 10.1007/s11695-009-9896-5. View

Mikaelsson C, Arnbjornsson E . Single-puncture laparoscopic gastrostomy in children. Pediatr Surg Int. 1999; 14(1-2):43-4. DOI: 10.1007/s003830050432. View

Tracy C, Raman J, Cadeddu J, Rane A . Laparoendoscopic single-site surgery in urology: where have we been and where are we heading?. Nat Clin Pract Urol. 2008; 5(10):561-8. DOI: 10.1038/ncpuro1215. View

Ates O, Hakguder G, Olguner M, Akgur F . Single-port laparoscopic appendectomy conducted intracorporeally with the aid of a transabdominal sling suture. J Pediatr Surg. 2007; 42(6):1071-4. DOI: 10.1016/j.jpedsurg.2007.01.065. View

10.

Raman J, Cadeddu J, Rao P, Rane A . Single-incision laparoscopic surgery: initial urological experience and comparison with natural-orifice transluminal endoscopic surgery. BJU Int. 2008; 101(12):1493-6. DOI: 10.1111/j.1464-410X.2008.07586.x. View

11.

Brody F, Vaziri K, Kasza J, Edwards C . Single incision laparoscopic cholecystectomy. J Am Coll Surg. 2010; 210(2):e9-e13. DOI: 10.1016/j.jamcollsurg.2009.10.018. View

12.

Saber A, El-Ghazaly T, Elian A . Single-incision transumbilical laparoscopic sleeve gastrectomy. J Laparoendosc Adv Surg Tech A. 2009; 19(6):755-8 discussion 759. DOI: 10.1089/lap.2009.0179. View

13.

Inoue H, Takeshita K, Endo M . Single-port laparoscopy assisted appendectomy under local pneumoperitoneum condition. Surg Endosc. 1994; 8(6):714-6. DOI: 10.1007/BF00678574. View

14.

Langwieler T, Nimmesgern T, Back M . Single-port access in laparoscopic cholecystectomy. Surg Endosc. 2009; 23(5):1138-41. DOI: 10.1007/s00464-009-0389-3. View

15.

Visnjic S . Transumbilical laparoscopically assisted appendectomy in children: high-tech low-budget surgery. Surg Endosc. 2007; 22(7):1667-71. DOI: 10.1007/s00464-007-9680-3. View

16.

Liberati A, Altman D, Tetzlaff J, Mulrow C, Gotzsche P, Ioannidis J . The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009; 339:b2700. PMC: 2714672. DOI: 10.1136/bmj.b2700. View

17.

Nguyen N, Reavis K, Hinojosa M, Smith B, Stamos M . A single-port technique for laparoscopic extended stapled appendectomy. Surg Innov. 2009; 16(1):78-81. DOI: 10.1177/1553350608330528. View

18.

Rothenberg S, Shipman K, Yoder S . Experience with modified single-port laparoscopic procedures in children. J Laparoendosc Adv Surg Tech A. 2009; 19(5):695-8. DOI: 10.1089/lap.2009.0148. View

19.

Martino A, Zamparelli M, Cobellis G, Mastroianni L, Amici G . One-trocar surgery: a less invasive videosurgical approach in childhood. J Pediatr Surg. 2001; 36(5):811-4. DOI: 10.1053/jpsu.2001.22968. View

20.

Ismail H, Flechner S, Kaouk J, Derweesh I, Gill I, Modlin C . Simultaneous vs. sequential laparoscopic bilateral native nephrectomy and renal transplantation. Transplantation. 2005; 80(8):1124-7. DOI: 10.1097/01.tp.0000179109.51593.87. View