Laparoscopic Procedures: Single-Incision Laparoscopic Colorectal Surgery
Laparoscopy was the greatest technological advance in colorectal surgery in the last quarter century. The first laparoscopic colon resection in the United States was performed in 1991. Since that time, the benefits of a minimally invasive approach for colorectal surgery have been well documented, including earlier return of bowel function, decreased analgesic requirement, faster recovery, superior cosmesis, and shorter length of stay without increasing readmission rates [1–10]. Despite proven benefits, there has been a limited adoption of traditional multiport laparoscopic colorectal surgery. Currently, the use of laparoscopic colorectal surgery is estimated in half of applicable elective cases  and even fewer colorectal cancer cases . Reasons cited for limited use include the additional learning curve and added technical and ergonomic complexities of the surgery. Multiple minimally invasive variations have been devised to help increase adoption and penetrance, including hand-assisted and robot-assisted laparoscopic platforms. However, the paradigm of high-quality, high-satisfaction surgery has continued to progress toward less invasive modalities, such as reduced port and single-incision laparoscopic surgery (SILS).
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