The role of single-incision laparoscopic surgery in abdominal and pelvic surgery: a systematic review.

Surgical Endoscopy
Kamran AhmedParaskevas Paraskeva

Abstract

This review aimed to determine the role of single-incision laparoscopic surgery (SILS) in abdominal and pelvic operations. 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 The study included case reports, case series, and empirical studies that reported SILS in abdominal and pelvic operations. 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 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%). The potential benefits of SILS include superior cosmesis and possibly shorter operat...Continue Reading

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