Single Port Laparoscopy (SPLS) is a surgical procedure that uses only one small incision to access the abdominal cavity. This procedure can be performed on patients with a body mass index (BMI) of 35 and an unresectable caecal polyp. Surgical techniques for SPLS are performed using a LigaSure Device to tie off the ileocolic artery and colonic mobilization, followed by extraction and extracorporeal ileocolic anastomosis.
One study concluded that single-port laparoscopic surgery is less painful than other laparoscopic procedures. Postoperative pain scores were significantly lower in patients undergoing single-port surgery compared to three-port laparoscopy. Moreover, studies have shown that patients who underwent single-port laparoscopy were more likely to leave the hospital early, which promoted the recovery of intestinal peristalsis and bowel motility. Further, early bed-emergence reduces the incidence of deep vein thrombosis and postoperative complications.
In a study of patients with giant ovarian cysts, single-port laparoscopy reduced the rate of tumor fluid spillage. Furthermore, single-port laparoscopy reduced the number of port-site metastases. Compared to other laparoscopic procedures, the single-port approach also reduced the incidence of recurrence of ovarian cysts. This procedure also reduces the amount of estimated blood loss and postoperative pain.
The patients who underwent Single Port Laparoscopy underwent general anesthesia. An incision was made in the umbilicus through the peritoneum. Carbon dioxide gas was then sucked into the abdomen to maintain a constant intraabdominal pressure of 13 mm Hg. Once the ports were in place, a laparoscope was inserted through the port to check the organs in the abdominal cavity and to look for metastases. After completing the procedure, the cystic fluid was removed using a suction/irrigation system.
Single-port laparoscopy reduces the risk of bladder injuries. Single-port laparoscopy also reduces the recovery time and decreases the risk of infection. In this study, a large number of women underwent the procedure. However, complications occurred more frequently in the control group. Single-port laparoscopy was found to be more effective for the treatment of these women than the traditional surgical procedure. The results of the study show that the advantages of single-port laparoscopy far outweigh any disadvantages of single-port laparoscopy.
While single-port laparoscopy has many benefits, it is not widely accepted. Single-port surgery has disadvantages, including added costs and technical challenges. The most important disadvantage of single-port surgery is limited working space. The surgeon and his assistant must maneuver in a small space outside the abdomen, which can lead to hand collisions. However, future improvements to the surgical instruments may reduce these challenges. In addition, single-port surgery can also increase patients' cosme.
SIL can be performed with standard laparoscopic instruments. It follows well-established strategic surgical steps. Unlike LC, SIL can be performed with standard laparoscopic instruments. Furthermore, the SIL procedure has been used for more than 2000 transumbilical SIL procedures in our department in the last five years. A representative postoperative view is shown in Figure 2.
