Skip to main content
SpringerLink
Log in

Single Incision Laparoscopic Colectomy

  • Chapter
Minimally Invasive Coloproctology

  • 804 Accesses

Abstract

Single incision laparoscopic surgery (SILS) is a new operative approach for colorectal resection. Laparoscopic colectomy is performed via a single incision. It gives excellent cosmetic result and there is a potential in further reduction of surgical trauma. SILS colectomy is, however, technically demanding. Various specialized single port access systems, laparoscopes, and instruments have been designed to facilitate this surgical procedure. Careful selection of patients is important. Certain surgical techniques also serve to overcome technical adversities.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Clinical Outcomes of Surgical Therapy Study G. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med. 2004;350(20):2050–9.

    Article  Google Scholar 

  2. Lacy AM, Garcia-Valdecasas JC, Delgado S, Castells A, Taura P, Pique JM, et al. Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trial. Lancet. 2002;359(9325):2224–9.

    Article  PubMed  Google Scholar 

  3. Poon JT, Law WL, Wong IW, Ching PT, Wong LM, Fan JK, et al. Impact of laparoscopic colorectal resection on surgical site infection. Ann Surg. 2009;249(1):77–81.

    Article  PubMed  Google Scholar 

  4. Katsuno G, Fukunaga M, Nagakari K, Yoshikawa S, Ouchi M, Hirasaki Y. Single-incision laparoscopic colectomy for colon cancer: early experience with 31 cases. Dis Colon Rectum. 2011;54(6):705–10.

    Article  PubMed  Google Scholar 

  5. Ramos-Valadez DI, Patel CB, Ragupathi M, Bokhari MB, Pickron TB, Haas EM. Single-incision laparoscopic colectomy: outcomes of an emerging minimally invasive technique. Int J Colorectal Dis. 2011;26(6):761–7.

    Article  PubMed  Google Scholar 

  6. van den Boezem PB, Sietses C. Single-incision laparoscopic colorectal surgery, experience with 50 consecutive cases. J Gastrointest Surg. 2011;15(11):1989–94.

    Article  PubMed  Google Scholar 

  7. Geisler D, Garrett T. Single incision laparoscopic colorectal surgery: a single surgeon experience of 102 consecutive cases. Tech Coloproctol. 2011;15(4):397–401.

    Article  CAS  PubMed  Google Scholar 

  8. Ross H, Steele S, Whiteford M, Lee S, Albert M, Mutch M, Rivadeneira D, Marcello P. Early multi-institution experience with single-incision laparoscopic colectomy. Dis Colon Rectum. 2011;54(2):187–92.

    Article  CAS  PubMed  Google Scholar 

  9. Chew MH, Wong MT, Lim BY, Ng KH, Eu KW. Evaluation of current devices in single-incision laparoscopic colorectal surgery: a preliminary experience in 32 consecutive cases. World J Surg. 2011;35(4):873–80.

    Article  PubMed  Google Scholar 

  10. Keshava A, Young CJ, Mackenzie S. Single-incision laparoscopic right hemicolectomy. Br J Surg. 2010;97(12):1881–3.

    Article  CAS  PubMed  Google Scholar 

  11. Poon JT, Cheung CW, Fan JK, Lo OS, Law WL. Single-incision versus conventional laparoscopic colectomy for colonic neoplasm: a randomized, controlled trial. Surg Endosc. 2012;26(10):2729–34.

    Article  PubMed  Google Scholar 

  12. Gaujoux S, Bretagnol F, Ferron M, Panis Y. Single-incision laparoscopic colonic surgery. Colorectal Dis. 2011;13(9):1066–71.

    Article  CAS  PubMed  Google Scholar 

  13. Ramos-Valadez DI, Patel CB, Ragupathi M, Bartley Pickron T, Haas EM. Single-incision laparoscopic right hemicolectomy: safety and feasibility in a series of consecutive cases. Surg Endosc. 2010;24(10):2613–6.

    Article  PubMed  Google Scholar 

  14. Slim K, Vicaut E, Launay-Savary MV, Contant C, Chipponi J. Updated systematic review and meta-analysis of randomized clinical trials on the role of mechanical bowel preparation before colorectal surgery. Ann Surg. 2009;249(2):203–9.

    Article  PubMed  Google Scholar 

  15. Jung B, Páhlman L, Nyström PO, Nilsson E. Mechanical Bowel Preparation Study Group. Multicentre randomized clinical trial of mechanical bowel preparation in elective colonic resection. Br J Surg. 2007;94(6):689–95.

    Article  CAS  PubMed  Google Scholar 

  16. Contant CM, Hop WC, van’t Sant HP, Oostvogel HJ, Smeets HJ, Stassen LP, Neijenhuis PA, Idenburg FJ, Dijkhuis CM, Heres P, van Tets WF, Gerritsen JJ, Weidema WF. Mechanical bowel preparation for elective colorectal surgery: a multicentre randomised trial. Lancet. 2007;370(9605):2112–7. Erratum in Lancet. 2008;371(9625):1664.

    Article  PubMed  Google Scholar 

  17. Rieger NA, Lam FF. Single-incision laparoscopically assisted colectomy using standard laparoscopic instrumentation. Surg Endosc. 2010;24(4):888–90.

    Article  PubMed  Google Scholar 

  18. Bucher P, Pugin F, Morel P. Single-port access laparoscopic radical left colectomy in humans. Dis Colon Rectum. 2009;52(10):1797–801.

    Article  PubMed  Google Scholar 

  19. Brunner W, Schirnhofer J, Waldstein-Wartenberg N, Frass R, Weiss H. Single incision laparoscopic sigmoid colon resections without visible scar: a novel technique. Colorectal Dis. 2010;12(1):66–70.

    Article  CAS  PubMed  Google Scholar 

  20. Merchant AM, Lin E. Single-incision laparoscopic right hemicolectomy for a colon mass. Dis Colon Rectum. 2009;52(5):1021–4.

    Article  PubMed  Google Scholar 

  21. Law WL, Fan JK, Poon JT. Single-incision laparoscopic colectomy: early experience. Dis Colon Rectum. 2010;53(3):284–8.

    Article  PubMed  Google Scholar 

  22. Leblanc F, Champagne BJ, Augestad KM, Stein SL, Marderstein E, Reynolds HL, Delaney CP. Single incision laparoscopic colectomy: technical aspects, feasibility, and expected benefits. Diagn Ther Endosc. 2010;2010:913216.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  23. Yang TX, Chua TC. Single-incision laparoscopic colectomy versus conventional multiport laparoscopic colectomy: a meta-analysis of comparative studies. Int J Colorectal Dis. 2013;28(1):89–101.

    Article  PubMed  Google Scholar 

  24. Dapri G, Carandina S, Mathonet P, Himpens J, Cadière GB. Suprapubic single-incision laparoscopic right hemicolectomy with intracorporeal anastomosis. Surg Innov. 2013;20(5):484–92.

    Article  PubMed  Google Scholar 

  25. Leroy J, Cahill RA, Asakuma M, Dallemagne B, Marescaux J. Single-access laparoscopic sigmoidectomy as definitive surgical management of prior diverticulitis in a human patient. Arch Surg. 2009;144(2):173–9.

    Article  PubMed  Google Scholar 

  26. Maggiori L, Gaujoux S, Tribillon E, Bretagnol F, Panis Y. Single-incision laparoscopy for colorectal resection: a systematic review and meta-analysis of more than a thousand procedures. Colorectal Dis. 2012;14(10):e643–54.

    Article  CAS  PubMed  Google Scholar 

  27. Vestweber B, Straub E, Kaldowski B, Paul C, Alfes A, Haaf F, Vestweber KH. Single-port colonic surgery: techniques and indications. Chirurg. 2011;82(5):411–4, 416–8.

    Article  CAS  PubMed  Google Scholar 

  28. Fung AK, Aly EH. Systematic review of single-incision laparoscopic colonic surgery. Br J Surg. 2012;99(10):1353–64.

    Article  PubMed  Google Scholar 

  29. Remzi FH, Kirat HT, Kaouk JH, Geisler DP. Single-port laparoscopy in colorectal surgery. Colorectal Dis. 2008;10(8):823–6.

    Article  CAS  PubMed  Google Scholar 

  30. Bucher P, Pugin F, Morel P. Single port access laparoscopic right hemicolectomy. Int J Colorectal Dis. 2008;23(10):1013–6.

    Article  PubMed  Google Scholar 

  31. Leblanc F, Makhija R, Champagne BJ, Delaney CP. Single incision laparoscopic total colectomy and proctocolectomy for benign disease: initial experience. Colorectal Dis. 2011;13(11):1290–3.

    Article  CAS  PubMed  Google Scholar 

  32. Champagne BJ, Papaconstantinou HT, Parmar SS, Nagle DA, Young-Fadok TM, Lee EC, Delaney CP. Single-incision versus standard multiport laparoscopic colectomy: a multicenter, case-controlled comparison. Ann Surg. 2012;255(1):66–9.

    Article  PubMed  Google Scholar 

  33. Velthuis S, van den Boezem PB, Lips DJ, Prins HA, Cuesta MA, Sietses C. Comparison of short-term surgical outcomes after single-incision laparoscopic versus multiport laparoscopic right colectomy: a two-center, prospective case-controlled study of 100 patients. Dig Surg. 2012;29(6):477–83.

    Article  PubMed  Google Scholar 

  34. Yun JA, Yun SH, Park YA, Cho YB, Kim HC, Lee WY, et al. Single-incision laparoscopic right colectomy compared with conventional laparoscopy for malignancy: assessment of perioperative and short-term oncologic outcomes. Surg Endosc. 2013;27(6):2122–30.

    Article  PubMed  Google Scholar 

  35. Kim SJ, Ryu GO, Choi BJ, Kim JG, Lee KJ, Lee SC, et al. The short-term outcomes of conventional and single-port laparoscopic surgery for colorectal cancer. Ann Surg. 2011;254(6):933–40.

    Article  PubMed  Google Scholar 

  36. Huscher CG, Mingoli A, Sgarzini G, Mereu A, Binda B, Brachini G, et al. Standard laparoscopic versus single-incision laparoscopic colectomy for cancer: early results of a randomized prospective study. Am J Surg. 2012;204(1):115–20.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Queen Mary Hospital, The University of Hong Kong, 12 Pokfulam Roam, Hong Kong, China

    Jensen T. C. Poon MS, FRCSEd (Gen) & Dominic C. C. Foo MBBS, FRCSEd (Gen)

Authors
  1. Jensen T. C. Poon MS, FRCSEd (Gen)
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dominic C. C. Foo MBBS, FRCSEd (Gen)
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jensen T. C. Poon MS, FRCSEd (Gen) .

Editor information

Editors and Affiliations

  1. Department of Surgery, Matilda International Hospital, HongKong, China

    William C S Meng

  2. Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Hong Kong, China

    Hester Y S Cheung

  3. City Medical Center Room 833, 8/F, Office Tower 1, Grand Plaza, Hong Kong, China

    David T Y Lam

  4. Department of Surgery, Prince of Wales Hospital The Chinese University of Hong Kong, Hong Kong, China

    Simon S M Ng

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Poon, J.T.C., Foo, D.C.C. (2015). Single Incision Laparoscopic Colectomy. In: Meng, W., Cheung, H., Lam, D., Ng, S. (eds) Minimally Invasive Coloproctology. Springer, Cham. https://doi.org/10.1007/978-3-319-19698-5_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-19698-5_6

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-19697-8

  • Online ISBN: 978-3-319-19698-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation