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2012, Number 1

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Rev Mex Cir Endoscop 2012; 13 (1)

Single-incision laparoscopic surgery evidence in colon and rectal diseases

González CQH, Camacho-Mauries D, Salgado-Nesme N, Aldana-Martínez OH

Language: Spanish
References: 23
Page: 48-53
PDF size: 83.46 Kb.


ABSTRACT

Background: Laparoscopic surgery is nowadays a standard for colon surgery. Single-incision laparoscopic surgery (SILS) aims to eliminate multiple incisions and is gaining popularity. Although general operative principles of SILS are similar to conventional laparoscopic surgery, operative techniques are not standardized and there are several technological obstacles that are yet to be overcome. Methods: A search of MEDLINE and PubMed was performed from 2005 to December 2011. Authors select the articles based on key word combinations (SILS, Single-incision laparoscopic surgery, colectomy, colorectal surgery). We include patients with benign and malignant colorectal disease and has to be patients older tan 18 years old. Results: Despite the paucity of high-quality scientific studies assessing its effectiveness, this procedure is being used increasingly. Colonic surgery is feasible with the single-port technique using standard laparoscopic instruments. Operative time and complication rates are comparable to conventional standard laparoscopic procedures. Conclusions: Although SILS provides excellent cosmetic results and morbidity seems similar to conventional laparoscopy, larger randomized controlled trials are needed to assess the safety and efficacy of this novel technique.


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