Single Incision Laparoscopy in Solid Organ Surgery: Is there a limit?

Abstract

Background

Single incision laparoscopic surgery is recently became popular on behalf of inventing less invasive procedures. In this paper, we present the first cases of SILS pancreas, SILS liver resection and SILS splenectomy cases.

Patients and Methods

Between January 2009 and January 2010, Among total 32 patients of single incision laparoscopic surgery (SILS) patients, 13 cases have undergone SILS solid organ surgery composed of pancreatectomy (n=1), liver resection (n=2) and splenectomies (n=10).

Results

In 10 cases splenectomies, in one case distal pancreatosplenectomy, and in two cases liver resection were performed. The most common splenectomy indication was idiopathic trombocytopenic purpura, distal pancreatosplenectomy indication was renal cell cancer metastases, and liver resection indications were left hepatic masses(adenoma, hemangioma) in segment 1 and 2. Single incision laparoscopic surgery was performed successfully in 13 patients of solid organ pathologies. In a patient was converted to open procedure.

Conclusion

To our knowledge, SILS in liver, pancreas and spleen were thr first cases in lietarture. In experienced centers, single incision laparoscopic surgery is could be performed successfully. However, to be able reveal the differences between Standard laparoscopic surgery and SILS, prospective randomized comparative studies are required.

Keywords: Single incision, Laparoscopy, Surgery