Review of 500 single incision laparoscopic colorectal surgery cases - Lessons learned

被引:15
作者
Keller, Deborah S. [1 ]
Flores-Gonzalez, Juan R. [1 ]
Ibarra, Sergio [1 ]
Haas, Eric M. [1 ,2 ,3 ]
机构
[1] Colorectal Surg Associates LLP LTD, Houston, TX 77054 USA
[2] Univ Texas Med Sch Houston, Houston Methodist Hosp, Div Colon & Rectal Surg, Houston, TX 77054 USA
[3] Univ Texas Med Sch Houston, Dept Surg, Div Minimally Invas Surg, Houston, TX 77054 USA
关键词
Laparoscopic colectomy; Minimally invasive colorectal surgery; Single-incision laparoscopic surgery; ADVANCED RECTAL-CANCER; REDUCED PORT SURGERY; BODY-MASS INDEX; RIGHT COLECTOMY; OBESE-PATIENTS; CONVENTIONAL LAPAROSCOPY; TOTAL PROCTOCOLECTOMY; RIGHT HEMICOLECTOMY; ANTERIOR RESECTION; NONOBESE PATIENTS;
D O I
10.3748/wjg.v22.i2.659
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Single incision laparoscopic surgery (SILS) is a minimally invasive platform with specific benefits over traditional multiport laparoscopic surgery. The safety and feasibility of SILS has been proven, and the applications continue to grow with experience. After 500 cases at a high-volume, single-institution, we were able to standardize instrumentation and operative steps, as well as develop adaptations in technique to help overcome technical and ergonomic challenges. These technical adaptations have allowed the successful application of SILS to technically difficult patient populations, such as pelvic cases, inflammatory bowel disease cases, and high body mass index patients. This review is a frame of reference for the application and wider integration of the single incision laparoscopic platform in colorectal surgery.
引用
收藏
页码:659 / 667
页数:9
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