Single-incision laparoscopy surgery
A systematic review
Keywords:
Single-incision, Surgery, LaparoscopyAbstract
Background: Laparoscopic surgery is a modern surgical technique in which operations are performed far from their location through small incisions elsewhere in the body.
Objective: This systematic review is aimed to overview single-incision laparoscopy surgery.
Methods: This systematic review was carried out by searching studies in PubMed, Medline, Web of Science, and IranMedex databases. The initial search strategy identified about 87 references. In this study, 54 studies were accepted for further screening and met all our inclusion criteria [in English, full text, therapeutic effects of single-incision laparoscopy surgery and dated mainly from the year 1990 to 2016]. The search terms were “single-incision,” “surgery,” and “laparoscopy.”
Results: Single-incision laparoscopy surgery is widely used for surgical operations in cholecystectomy, sleeve gastrectomy, cholecystoduodenostomy, hepatobiliary disease, colon cancer, obesity, appendectomy, liver surgery, rectosigmoid cancer, vaginal hysterectomy, vaginoplasty, colorectal lung metastases, pyloroplasty, endoscopic surgery, hernia repair, nephrectomy, rectal cancer, colectomy and uterus-preserving repair, bile duct exploration, ileo-ileal resection, lymphadenectomy, incarcerated inguinal hernia, anastomosis, congenital anomaly, colectomy for cancer.
Conclusion: Based on the findings, single-incision laparoscopy surgery is a scarless surgery with minimal access. Although it possesses lots of benefits, including less incisional pain and scars, cosmesis, and the ability to convert to standard multiport laparoscopic surgery, it has some disadvantages, for example, less freedom of movement, fewer number of ports that can be used, and the proximity of the instruments to each other during the operation.
References
Miraj S, Azizi N, Kiani S. A review of chemical components and pharmacological effects of Melissa
officinalis L. Der Pharmacia Lettre. 2016; 8(6): 229-37.
Miraj S, Kiani S. Study of pharmacological effect of Ocimum basilicum A review. Der Pharmacia Lettre.
; 8(9): 276-80.
Miraj S, Kiani S. Astragalus membranaceus : A review study of its anti-carcinoma activities. Der
Pharmacia Lettre. 2016; 8(6): 59-65.
Miraj S, Kiani S. Study of pharmacological effect of Avena sativa: A review. Der Pharmacia Lettre. 2016;
(9): 137-40.
Miraj S, Kiani S. Study of pharmacological effect of Mentha pulegium: A review. Der Pharmacia Lettre.
; 8(9): 242-5.
Miraj S, Kiani S. Bioactivity of Sesamum indicum A review study. Der Pharmacia Lettre. 2016; 8(6): 328- 34.
Miraj S, Kiani S. Study of therapeutic effects of Cynara scolymus L: A review. Der Pharmacia Lettre.
; 8(9): 168-73.
Masoudi M, Rafieian-Kopaei M, Miraj S. A comparison of the efficacy of metronidazole vaginal gel and
Myrtus (Myrtus communis) extract combination and metronidazole vaginal gel alone in the treatment of
recurrent bacterial vaginosis. Avicenna J Phytomed. 2016; 6(6): 1-7.
Baghbahadorani FK, Miraj S. The impact of Silymarin on improvement of platelet abnormalities in patients
with severe preeclampsia. Electron Physician. 2016; 8(5): 2436-42. doi: 10.19082/2436. PMID: 27382456,
PMCID: PMC4930266.
Masoudi M, Miraj S, Rafieian-Kopaei M. Comparison of the Effects of Myrtus Communis L, Berberis
Vulgaris and Metronidazole Vaginal Gel alone for the Treatment of Bacterial Vaginosis. J Clin Diagn Res.
; 10(3): QC04-7. doi: 10.7860/JCDR/2016/17211.7392. PMID: 27134945, PMCID: PMC4843330.
Pandya EY, Ekta Y. Factors Affecting Patients’ Perception On, and Adherence To, Anticoagulant Therapy:
Anticipating the Role of Direct Oral Anticoagulants. The Patient-Patient-Centered Outcomes Research.
; 3(2): 1-23. doi: 10.1007/s40271-016-0180-1.
Monier A, Guiu B, Duran R, Aho S, Bize P, Deltenre P, et al. Liver and biliary damages following
transarterial chemoembolization of hepatocellular carcinoma: comparison between drug-eluting beads and
lipiodol emulsion. Eur Radiol. 2016. doi: 10.1007/s00330-016-4488-y. PMID: 27436016.
Featherall J, Miller JA, Bennett EE, Lubelski D, Wang H, Khalaf T, et al. Implementation of an Infection
Prevention Bundle to Reduce Surgical Site Infections and Cost Following Spine Surgery. JAMA Surg.
; 151(8): 131-45. doi: 10.1001/jamasurg.2016.1794.
Raman JD, Cadeddu JA, Rao P, Rane A. Single ‐ incision laparoscopic surgery: initial urological
experience and comparison with natural‐orifice transluminal endoscopic surgery. BJU int. 2008; 101(12):
-6. doi: 10.1111/j.1464-410X.2008.07586.x.
Buckley F, Vassaur H, Jupiter D, Crosby J, Wheeless C, Vassaur J. Influencing factors for port-site hernias
after single-incision laparoscopy. Hernia. 2016; 20(5): 729-33. doi: 10.1007/s10029-016-1512-8. PMID:
Ming YC, Yang W, Chen JC, Chang PY, Lai JY. Experience of single-incision laparoscopy in children. J
minim access surg. 2016; 1(3): 245-7. doi: 10.4103/0972-9941.169977. PMID: 27279396, PMCID:
PMC4916751.
Rao MM, Rao RK. Two-port and single port loporoscopic appendicectomy. J Indian Med Assoc. 2004;
(7): 360-4. PMID: 15717581.
Sajid MS, Khawaja AH, Sayegh M, Baig MK. A systematic review comparing single-incision versus multiincision laparoscopic surgery for inguinal hernia repair with mesh. Int J Surg. 2016; 29: 25-35. doi:
1016/j.ijsu.2016.02.088. PMID: 26975426.
Evans L, Manley K. Is There a Cosmetic Advantage to Single-Incision Laparoscopic Surgical Techniques
Over Standard Laparoscopic Surgery? A Systematic Review and Meta-analysis. Surg Laparosc Endosc
Percutan Tech. 2016; 2(3): 177-82. doi: 10.1097/SLE.0000000000000261. PMID: 27213788.
Zhao L, Wang Z, Xu J, Wei Y, Guan Y, Liu C, et al. A Randomised Controlled Trial Comparing Singleincision Laparoscopic Cholecystectomy Using a Novel Instrument to That Using a Common Instrument.
Int J Surg. 2016; 32: 174-8. doi: 10.1016/j.ijsu.2016.06.045. PMID: 27389678.
Yamamoto M, Zaima M, Kida Y, Yamamoto H, Harada H, Kawamura J, et al. A Novel Procedure for
Single-Incision Laparoscopic Cholecystectomy-The Teres Hanging Technique Combined with Fundus- First, Dome-Down Separation. J Laparoendosc Adv Surg Tech A. 2016. doi: 10.1089/lap.2015.0585.
PMID: 27389306.
Panagiotis L, Hadrien T, Martin G, Stefano F, Gianfranco D, Ibrahim D. Prospective evaluation of routine
early computed tomography scanning in laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2016. doi:
1016/j.soard.2016.03.031.
Chowdhury H. Mini-Laparoscopic Cholecystectomy: Review of 7200 Cases. Could it be the New Gold
Standard? Mymensingh med J. 2016; 2 (2): 284-8. doi: 10.1016/j.soard.2016.04.006.
Kim SG, Moon JI, Choi IS, Lee SE, Sung NS, Chun KW, et al. Risk factors for conversion to conventional
laparoscopic cholecystectomy in single incision laparoscopic cholecystectomy. Ann Surg Treat Res. 2016;
(6): 303-8. doi: 10.4174/astr.2016.90.6.303. PMID: 27274505, PMCID: PMC4891520.
Aprea G, Rocca A, Salzano A, Sivero L, Scarpaleggia M, Ocelli P, et al. Laparoscopic Single Site (LESS)
and Classic Video-Laparoscopic Cholecystectomy in the elderly: A single centre experience. Int J Surge.
; 33 Suppl 1: S1-3. doi: 10.1016/j.ijsu.2016.05.059. PMID: 27255133.
Borle FR, Mehra B, Ranjan Singh A. Comparison of Cosmetic Outcome Between Single-Incision
Laparoscopic Cholecystectomy and Conventional Laparoscopic Cholecystectomy in Rural Indian
Population: A Randomized Clinical Trial. Indian J Surg. 2015; 7(3): 877-80. doi: 10.1007/s12262-014- 1044-3. PMID: 27011474, PMCID: PMC4775656.
Su WL, Huang JW, Wang SN, Lee KT. Comparison study of clinical outcomes between single-site robotic
cholecystectomy and single incision laparoscopic cholecystectomy. Asian J Surg. 2016; pii: S1015- 9584(16) 30038-0. doi: 10.1016/j.asjsur.2016.03.005. PMID: 27188234.
Díaz‐Güemes Martín‐Portugués I, Maria Matos‐Azevedo A, Enciso Sanz S, Sánchez‐Margallo FM.
Laparoscopic Cholecystoduodenostomy in Dogs: Canine Cadaver Feasibility Study. vet surg. 2016; 4(3):
doi: 10.1111/vsu.12507.
Choi SB, Choi SY. Current status and future perspective of laparoscopic surgery in hepatobiliary disease.
Kaohsiung J Med Sci. 2016; 32(6): 281-91. doi: 10.1016/j.kjms.2016.05.006. PMID: 27377840.
Chuang SH, Yeh MC, Chang CJ. Laparoscopic transfistulous bile duct exploration for Mirizzi syndrome
type II: a simplified standardized technique. Surg endosc. 2016. doi: 10.1007/s00464-016-4911-0. PMID:
Kim CW, Han YD, Kim HY, Hur H, Min BS, Lee KY, et al. Learning curve for single-incision
laparoscopic resection of right-sided colon cancer by complete mesocolic excision. Medicine (Baltimore).
; 95(26): e3982. doi: 10.1097/MD.0000000000003982. PMID: 27367999, PMCID: PMC4937913.
Liu R, Wang Y, Xiong W, Zhang Z, Deng H, Li G. Efficacy analysis of suprapubic single-incision
laparoscopy in the treatment of rectosigmoid cancer. Zhonghua Wei Chang Wai Ke Za Zhi. 2016; 19(6):
-53. PMID: 27353098.
Foo DC, Choi HK, Wei R, Yip J, Law WL. Transanal Total Mesorectal Excision With Single-Incision
Laparoscopy for Rectal Cancer. JSLS. 2016; 20(2). doi: 10.4293/JSLS.2016.00007. PMID: 27186068,
PMCID: PMC4867504.
Lerut P, Nuytens F, D’Hondt M. Combined Minimal Invasive Transdiaphragmatic Resections of Peripheral
Colorectal Lung Metastases in Patients Undergoing Laparoscopic Liver Resections. Ann Surg Oncol. 2016;
(1): 1-10. doi: 10.1245/s10434-016-5304-2. PMID: 27301848.
Chouillard E, Alsabah S, Daher R, Younan A, Greco VJ, Chahine E, et al. Single-Incision Laparoscopy
Could Be Better than Standard Laparoscopy in Right Colectomy for Cancer. J Laparoendosc Adv Surg
Tech A. 2016; 26(5): 371-8. doi: 10.1089/lap.2015.0231. PMID: 26959941.
Nickerson TP, Aho JM, Bingener J. Single incision laparoscopic resection of small bowel tumours: A Case
Series. J Min Acc Surg. 2016; 12(3): 235. doi: 10.4103/0972-9941.158958.
Litz CN, Farach SM, Danielson PD, Chandler NM. Obesity and single-incision laparoscopic appendectomy
in children. Journal of Surgical Research. 2016; 203(2): 283-6. doi: 10.1016/j.jss.2016.03.039.
Wieck MM, Hamilton NA, Krishnaswami S. A cost and outcome analysis of pediatric single-incision
appendectomy. J Surg Res. 2016; 203(2): 253-7. doi: 10.1016/j.jss.2016.04.033. PMID: 27363629.
Endo K, Kujirai D, Maeda H, Ishida T, Terauchi T, Kimata M, et al. Transumbilical laparoscopic
appendectomy performed by residents is safe and feasible. Asian J Endosc Surg. 2016. doi:
1111/ases.12303. PMID: 27349207.
Uday SK, Kumar CH, Bhargav PR. Technique of Single-Incision Laparoscopic Appendectomy Using
Conventional Multiport Laparoscopic Instruments (SILACI): Preliminary Experience of 32 Cases. Indian J
Surg. 2015; 7(3): 764-8. doi: 10.1007/s12262-013-0996-z. PMID: 27011453, PMCID: PMC4775544.
Lee SM, Hwang GS, Lee DS. Single-incision laparoscopic appendectomy using homemade glove port at
low cost. J Minim Access Surg. 2016; 12(2): 124-8. doi: 10.4103/0972-9941.169979. PMID: 27073303,
PMCID: PMC4810944.
Chiu CG, Nguyen NH, Bloom SW. Single-incision laparoscopic appendectomy using conventional
instruments: an initial experience using a novel technique. Surgical Endoscopy. 2011; 25(4): 1153-9. doi:
1007/s00464-010-1332-3.
Karabicak I, Karabulut K. Single port laparoscopic liver surgery: A minireview. World J Gastrointest
Endosc. 2016; 8(12): 444-50. doi: 10.4253/wjge.v8.i12.444. PMID: 27358670, PMCID: PMC4919693.
Takeda A, Hayashi S, Imoto S, Nakamura H. Gasless single-port laparoscopic-assisted vaginal
hysterectomy for large uteri weighing 500g or more. Eur J Obstet Gynecol Reprod Biol. 2016; 203: 239-44.
doi: 10.1016/j.ejogrb.2016.06.006. PMID: 27352286.
Zhang M, Li S, Huang X, Du H, Wang C, Zhang L, et al. Transumbilical single-incision laparoscopic
vaginoplasty hybrid transperineal approach using a sigmoid colon segment: initial twenty-five cases. Int
Urol Nephrol. 2016: 48(9): 1401-6. doi: 10.1007/s11255-016-1321-0. PMID: 27351665.
Banky B, Marlborough F, MacLeod I, Gill TS. Single-incision laparoscopic (SIL) sigmoid colectomy and
uterus-preserving repair for colo-uterine fistula secondary to severe diverticular disease: an unusual
technical solution for an unusual presentation of a common disease. BMJ case reports. 2016. doi:
1136/bcr-2016-214895.
Diao M, Li L, Ye M, Guan KP, Wei YD, Cheng W. Congenital anomaly rectified at birth: one-stage singleincision laparoscopic-assisted anorectoplasty for newborns with anorectal malformations and recto-urethral
fistula. Surgical Endoscopy. 2016; 1-9. doi: 10.1007/s00464-016-4841-x.
Moggia E, Athanasopoulos PG, Hadjittofi C, Berti S. Laparoscopic Finney pyloroplasty in the emergency
setting: first case report in the literature and technical challenges. Ann Trans Med. 2016; 4(10): 197. doi:
21037/atm.2016.04.09. PMID: 27294093, PMCID: PMC4885888.
Liem MS, van der Graaf Y, van Steensel CJ, Boelhouwer RU, Clevers GJ, Meijer WS, et al. Comparison of
conventional anterior surgery and laparoscopic surgery for inguinal-hernia repair. New England J Med.
; 336(22): 1541-7. doi: 10.1056/NEJM199705293362201. PMID: 9164809.
Murase N, Uchida H, Seki T, Hiramatsu K. A feasibility of single-incision laparoscopic percutaneous
extraperitoneal closure for treatment of incarcerated inguinal hernia in children: our preliminary outcome
and review of the literature. Nagoya j med sci. 2016; 78(1): 19-25. PMID: 27019525, PMCID:
PMC4767511.
Gupta A, Ahmed K, Kynaston HG, Dasgupta P, Chlosta PL, Aboumarzouk OM. Laparoendoscopic single ‐site donor nephrectomy (LESS‐DN) versus standard laparoscopic donor nephrectomy. The Cochrane
Library. 2016. doi: 10.1002/14651858.CD010850.pub2.
Yu H, Wu S, Zhu R, Yu X. Single-incision laparoscopic-assisted ileal resection for adult intussusception. J
Minim Access Surg. 2016; 12(2): 182-5. doi: 10.4103/0972-9941.169986. PMID: 27073316, PMCID:
PMC4810957.
Lee YS. Single-port laparoscopic transperitoneal infrarenal para-aortic lymphadenectomy as part of staging
operation for early ovarian cancer and high grade endometrial cancer. J Gynecol Oncol. 2016; 27(3): e32.
doi: 10.3802/jgo.2016.27.e32. PMID: 27029753, PMCID: PMC4823363.
Di Saverio S, Vennix S, Birindelli A, Weber D, Lombardi R, Mandrioli M, et al. Pushing the envelope:
laparoscopy and primary anastomosis are technically feasible in stable patients with Hinchey IV perforated
acute diverticulitis and gross faeculent peritonitis. Surg endos. 2016: 1-9. doi: 10.1007/s00464-016-4869-y.
Eftekhar M, Miraj S, Mortazavifar Z. The effect of luteal phase gonadotropin-releasing hormone antagonist
administration on IVF outcomes in women at risk of OHSS. Int J Reprod Biomed (Yazd). 2016; 14(8):
-10. PMID: 27679825, PMCID: PMC5015664.
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