Minimal Invasive Single-site Surgery in Colorectal Procedures: Current State of the Art

Overview

Journal J Minim Access Surg

Specialty Gastroenterology

Date 2011 Jan 4

PMID 21197243

Citations 25

Authors

Michele Diana

Parag Dhumane

R A Cahill

N Mortensen

Joel Leroy

Jacques Marescaux

Affiliations

Soon will be listed here.

Abstract

Background: Minimally invasive single-site (MISS) surgery has recently been applied to colorectal surgery. We aimed to assess the current state of the art and the adequacy of preliminary oncological results.

Methods: We performed a systematic review of the literature using Pubmed, Medline, SCOPUS and Web of Science databases. Keywords used were "Single Port" or "Single-Incision" or "LaparoEndoscopic Single Site" or "SILS™" and "Colon" or "Colorectal" and "Surgery".

Results: Twenty-nine articles on colorectal MISS surgery have been published from July 2008 to July 2010, presenting data on 149 patients. One study reported analgesic requirement. The final incision length ranged from 2.5 to 8 cm. Only two studies reported fascial incision length. There were two port site hernias in a series of 13 patients (15.38%). Two "fully laparoscopic" MISS procedures with preparation and achievement of the anastomosis completely intracorporeally are reported. Future site of ileostomy was used as the sole access for the procedures in three studies. Lymph node harvesting, resection margins and length of specimen were sufficient in oncological cases.

Conclusions: MISS colorectal surgery is a challenging procedure that seems to be safe and feasible, but the existing clinical evidence is limited. In selected cases, and especially when an ileostomy is planned, colorectal surgery may be an ideal indication for MISS surgery leading to a no-scar surgery. Despite preliminary oncological results showing the feasibility of MISS surgery, we want to stress the need to standardize the technique and carefully evaluate its application in oncosurgery under ethical committee control.

Citing Articles

Editorial: Laparoscopic surgery in colorectal cancer.

Jia W, Cheng X, Zhao R Front Oncol. 2022; 12:960730.

PMID: 36119542 PMC: 9477083. DOI: 10.3389/fonc.2022.960730.

Surgical Outcomes of Single-Port Laparoscopic Surgery Compared With Conventional Laparoscopic Surgery for Appendiceal Mucinous Neoplasm.

Yang I, Seo M, Oh H, Lee J, Suh J, Kim D Ann Coloproctol. 2021; 37(4):239-243.

PMID: 34082510 PMC: 8391038. DOI: 10.3393/ac.2020.11.08.

Suprapubic single-port approach for complicated diverticulitis.

Spinelli A, Di Candido F, Carvello M Tech Coloproctol. 2018; 22(9):657-662.

PMID: 30219934 DOI: 10.1007/s10151-018-1843-9.

A combination of transanal minimally invasive surgery and transanal technique to facilitate suturing during transanal minimally invasive surgery.

Christie R, Sugrue J, Eftaiha S, Kaminski J, Kamal T, Park J J Vis Surg. 2018; 2:114.

PMID: 29399500 PMC: 5783273. DOI: 10.21037/jovs.2016.06.04.

Single-incision laparoscopic colorectal surgery: a report of 33 cases in Saudi Arabia.

Aldeghaither S, Zubaidi A, Alkhayal K, Al-Obaid O Ann Saudi Med. 2016; 36(4):282-7.

PMID: 27478914 PMC: 6074404. DOI: 10.5144/0256-4947.2016.282.

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