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Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Oct 14, 2015; 21(38): 10824-10829
Published online Oct 14, 2015. doi: 10.3748/wjg.v21.i38.10824
Review of single incision laparoscopic surgery in colorectal surgery
Nisreen Madhoun, Deborah S Keller, Eric M Haas
Nisreen Madhoun, Deborah S Keller, Eric M Haas, Colorectal Surgical Associates, Houston, TX 77054, United States
Eric M Haas, Division of Minimally Invasive Colorectal Surgery, Department of Surgery, University of Texas Medical School at Houston, TX 77054, United States
Eric M Haas, Houston Methodist Hospital, Houston, Texas, TX 77054, United States
Author contributions: All authors contributed to this work.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Eric M Haas, MD, FACS, FASCRS, Division of Minimally Invasive Colorectal Surgery, Department of Surgery, University of Texas Medical School at Houston, 7900 Fannin, Suite 2700, Houston, TX 77054, United States. ehaasmd@houstoncolon.com
Telephone: +1-713-7900600 Fax: +1-713-7900616
Received: April 9, 2015
Peer-review started: April 9, 2015
First decision: June 23, 2015
Revised: July 8, 2015
Accepted: September 14, 2015
Article in press: September 14, 2015
Published online: October 14, 2015
Processing time: 188 Days and 7.7 Hours
Abstract

As surgical techniques continue to move towards less invasive techniques, single incision laparoscopic surgery (SILS), a hybrid between traditional multiport laparoscopy and natural orifice transluminal endoscopic surgery, was introduced to further the enhanced outcomes of multiport laparoscopy. The safety and feasibility of SILS for both benign and malignant colorectal disease has been proven. SILS provides the potential for improved cosmesis, postoperative pain, recovery time, and quality of life at the drawback of higher technical skill required. In this article, we review the history, describe the available technology and techniques, and evaluate the benefits and limitations of SILS for colorectal surgery in the published literature.

Keywords: Laparoscopic colectomy; Minimally invasive colorectal surgery; Single-incision laparoscopic surgery

Core tip: As surgical techniques continue to move towards less invasive techniques, single incision laparoscopic surgery (SILS) is a valuable platform with distinct advantages and comparable or better outcomes than other minimally invasive platforms. The safety and feasibility of SILS for both benign and malignant colorectal disease has been proven, and this review of the history, current state, available technology, limitations to widespread use, and their solutions will be a valuable addition to the published literature. It will draw attention to the benefits and potentially increase use of the platform and minimally invasive surgery as a whole.