Pediatric Surgery International

, Volume 26, Issue 5, pp 451–456 | Cite as

A review of single site minimally invasive surgery in infants and children

  • Carissa L. Garey
  • Carrie A. Laituri
  • Daniel J. Ostlie
  • Shawn D. St. Peter
Review Article


Videoscopic surgery has become the standard approach for most thoracic, abdominal, and pelvic procedures in adults and children. These procedures have widely recognized benefits including decreased postoperative pain, improved cosmesis, and decreased convalescence. In a recent attempt to further improve the cosmetic result of these operations, surgeons have begun to employ a single incision through which all the operating instruments are placed. This article seeks to review the current and future application of innovative minimally invasive surgery to pediatric surgery.


Single site surgery Pediatric minimally invasive surgery 


  1. 1.
    Pelosi MA, Pelosi MA 3rd (1992) Laparoscopic appendectomy using a single umbilical puncture. J Reprod Med 37:588–594PubMedGoogle Scholar
  2. 2.
    MacDonald ER, Brownlee E, Ahmed I (2009) New tools for a new job-single port laparoscopic surgery equipment. Med Equip Insights 2:1–7Google Scholar
  3. 3.
  4. 4.
  5. 5.
    Martino A, Zamparelli M, Cobellis G et al (2001) One trocar surgery: a less invasive videosurgical approach in childhood. J Pediatr Surg 36(5):811–814CrossRefPubMedGoogle Scholar
  6. 6.
    Ostlie DJ, Holcomb GW 3rd (2003) The use of stab incisions for instrument access in laparoscopic operations. J Pediatr Surg 38(12):1837–1840CrossRefPubMedGoogle Scholar
  7. 7.
    St Peter SD, Holcomb GW 3rd, Calkins CM, Murphy JP, Andrews WS, Sharp RJ, Snyder CL, Ostlie DJ (2006) Open versus laparoscopic pyloromyotomy for pyloric stenosis: a prospective, randomized trial. Ann Surg 244(3):363–370PubMedGoogle Scholar
  8. 8.
    Varshney S, Sewkani A, Vyas S et al (2007) Single-port transumbilical laparoscopic-assisted appendectomy. Indian J Gastroenterol 26:192PubMedGoogle Scholar
  9. 9.
    Chamberlain RS, Sakpal SJ (2009) A comprehensive review of single-incision laparoscopic surgery and natural orifice transluminal endoscopic surgery techniques for cholecystectomy. J Gastrointest Surg 13:1733–1740CrossRefPubMedGoogle Scholar
  10. 10.
    Merchant AM, Cook MW, White BC et al (2009) Transumbilical Gelport access technique for performing single incision laparoscopic surgery. J Gastrointest Surg 13:159–162CrossRefPubMedGoogle Scholar
  11. 11.
    Hirano D, Minei S, Yamaguchi K et al (2005) Retroperioneoscopic adrenalectomy for adrenal tumors via a single large port. J Endourol 19:788–792CrossRefPubMedGoogle Scholar
  12. 12.
    Remzi FH, Kirat HT, Kaouk JH et al (2008) Single-port laparoscopy in colorectal surgery. Colorectal Dis 10:823–826CrossRefPubMedGoogle Scholar
  13. 13.
    Saber AA, El-Ghazaly TH (2009) Early experience with single incision transumbilical laparoscopic adjustable gastric banding using the SILS port. Int J Surg 7(5):456–459CrossRefPubMedGoogle Scholar
  14. 14.
    Gill IS, Canes D, Aron M et al (2008) Single port transumbilical donor nephrectomy. J Urol 180:637–641CrossRefPubMedGoogle Scholar
  15. 15.
    Esposito C (1998) One-trocar appendectomy in pediatric surgery. Surg Endosc 12:177–178CrossRefPubMedGoogle Scholar
  16. 16.
    Koontz CA, Smith LA, Burkholder HS et al (2006) Video-assisted transumbilical appendectomy in children. J Pediatr Surg 41:710–712CrossRefPubMedGoogle Scholar
  17. 17.
    Clark JM, Koontz CS, Smith LA et al (2008) Video-assisted transumbilical Meckel’s diverticulectomy in children. Am Surg 74:327–329PubMedGoogle Scholar
  18. 18.
    Kawahara H, Kubota A, Okuyama H et al (2006) One-trocar laparoscopy-aided gastrostomy in handicapped children. J Pediatr Surg 41:2076–2080CrossRefPubMedGoogle Scholar
  19. 19.
    Kaouk JH, Palmer JS (2008) Single-port laparoscopic surgery: initial experience in children for varicocelectomy. BJU Int 102:97–99CrossRefPubMedGoogle Scholar
  20. 20.
    Gauderer MWL (2007) An individualized approach to appendectomy in children based on anatomico-laparoscopic findings. Am Surg 73:814–817PubMedGoogle Scholar
  21. 21.
    Ponsky TA, Diluciano J, Chwals W et al (2009) Early experience with single-port laparoscopic surgery in children. J Laparoendosc Adv Surg Tech 19(4):551–553CrossRefGoogle Scholar
  22. 22.
    Rothenberg SS, Shipman K, Yoder S (2009) Experience with modified single-port laparoscopic procedures in children. J Laparoendosc Adv Surg Tech 19(5):1–4Google Scholar
  23. 23.
    Dutta S (2009) Early experience with single incision laparoscopic surgery: eliminating the scar from abdominal operations. J Pediatr Surg 44:1741–1745CrossRefPubMedGoogle Scholar
  24. 24.
    McCloy R, Randall D, Schug SA et al (2008) Is smaller necessarily better? A systematic review comparing the effects of minilaparoscopic and conventional laparoscopic cholecystectomy on patient outcomes. Surg Endosc 22:2541–2553CrossRefPubMedGoogle Scholar
  25. 25.
    Aprahamian CJ, Morgan TL, Harmon CM, Georgeson KE, Barnhart DC (2006) U-stitch laparoscopic gastrostomy technique has a low rate of complications and allows primary button placement: experience with 461 pediatric procedures. J Laparoendosc Adv Surg Tech 16:643–649CrossRefGoogle Scholar
  26. 26.
    Schenkman L, Weiner TM, Phillips JD (2008) Evolution of the surgical management of neonatal ovarian cysts: laparoscopic-assisted transumbilical extracorporeal ovarian cystectomy (LATEC). J Laparoendosc Adv Surg Tech 18:635–639CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Carissa L. Garey
    • 1
  • Carrie A. Laituri
    • 1
  • Daniel J. Ostlie
    • 1
  • Shawn D. St. Peter
    • 1
  1. 1.The Center for Prospective Clinical TrialsThe Children’s Mercy HospitalKansas CityUSA

Personalised recommendations