Platforms and Instruments (Principles of Single-Incision Laparoscopic Colorectal Surgery, Available Platforms and Instruments)

Chapter

Abstract

Performing laparoscopic colorectal surgery through a single incision has gained renowned interest in the past decade. Single-incision laparoscopic surgery is certainly safe and feasible but can be surgically challenging as this technique is inherently limited by working with multiple instruments through a constrained insertion point. Limitations of single-incision laparoscopy include the loss of triangulation, dexterity, and visualization. Nonetheless, new technologies are necessary and now available to overcome these limitations. This chapter describes the available platforms and instruments in our armamentarium to perform single-incision laparoscopic colorectal surgery. Newer advancements in laparoscopes, access ports, and instruments combined with technical nuances and skills can be used to compensate for the initial limitations of single-incision laparoscopic colorectal surgery.

Keywords

Foam Smoke Kelly 

References

  1. 1.
    Schwenk W, Haase O, Neudecker J, Muller JM. Short term benefits for laparoscopic colorectal resection. Cochrane Database Syst Rev. 2005;3: CD003145.PubMedGoogle Scholar
  2. 2.
    Kuhry E, Schwenk WF, Gaupset R, Romild U, Bonjer HJ. Long-term results of laparoscopic colorectal cancer resection. Cochrane Database Syst Rev. 2008; 2:CD003432.PubMedGoogle Scholar
  3. 3.
    Aly EH. Laparoscopic colorectal surgery: summary of thecurrent evidence. Ann R Coll Surg Engl. 2009; 91:541–4.PubMedCrossRefGoogle Scholar
  4. 4.
    Lacy AM, Garcia-Valdecasas JC, Delgado S, et al. Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trial. Lancet. 2002;359:2224–9.PubMedCrossRefGoogle Scholar
  5. 5.
    The Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med. 2004;350(20):2050–9.CrossRefGoogle Scholar
  6. 6.
    Jayne DG, Guillou PJ, Thorpe H, UK MRC CLASICC Trial Group. Randomized trial of laparoscopic-assisted resection of colorectal carcinoma: 3-year results of the UK MRC CLASICC Trial Group. J Clin Oncol. 2007;25(21):3061–8.CrossRefGoogle Scholar
  7. 7.
    Buunen M, Veldkamp R, Hop WC, Colon Cancer Laparoscopic or Open Resection Study Group et al. Survival after laparoscopic surgery versus open surgery for colon cancer: longterm outcome of a randomised clinical trial. Lancet Oncol. 2009;10(1):44–52.PubMedCrossRefGoogle Scholar
  8. 8.
    Lee SW, Milsom JW, Nash GM. Single-incision versus multiport laparoscopic right and hand-assisted leftcolectomy: a case-matched comparison. Dis Colon Rectum. 2011;54:1355–61.PubMedCrossRefGoogle Scholar
  9. 9.
    Li W, Xu H, Wang ZK, Fan ZN, Ba SD, Zou DW, et al. Natural orifice translumenal endoscopic surgery (NOTES): patients’ perceptions and attitudes. Dig Dis Sci. 2011;56:2415–22.PubMedCrossRefGoogle Scholar
  10. 10.
    Makino T, Milsom JW, Lee SW. Single-incision laparoscopic surgeries for colorectal diseases: early experiences of a novel surgical method. Minim Invasive Surg. 2012;2012:783074.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of Surgery-ColorectalCase Medical CenterClevelandUSA

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