Minimal invasive single-site surgery in colorectal procedures: Current state of the art

Background: Minimally invasive single-site (MISS) surgery has recently been applied to colorectal surgery. We aimed to assess the current state of the art and the adequacy of preliminary oncological results. Methods: We performed a systematic review of the literature using Pubmed, Medline, SCOPUS an...

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Main Authors: Diana Michele, Dhumane Parag, Cahill R, Mortensen N, Leroy Joel, Marescaux Jacques
Format: Article in Journal/Newspaper
Language:English
Published: Wolters Kluwer Medknow Publications 2011
Subjects:
Online Access:https://doaj.org/article/1371868a7332433d94c19444bfed3b1e
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spelling ftdoajarticles:oai:doaj.org/article:1371868a7332433d94c19444bfed3b1e 2023-05-15T18:15:19+02:00 Minimal invasive single-site surgery in colorectal procedures: Current state of the art Diana Michele Dhumane Parag Cahill R Mortensen N Leroy Joel Marescaux Jacques 2011-01-01T00:00:00Z https://doaj.org/article/1371868a7332433d94c19444bfed3b1e EN eng Wolters Kluwer Medknow Publications http://www.journalofmas.com/article.asp?issn=0972-9941;year=2011;volume=7;issue=1;spage=52;epage=60;aulast=Diana https://doaj.org/toc/0972-9941 https://doaj.org/toc/1998-3921 0972-9941 1998-3921 https://doaj.org/article/1371868a7332433d94c19444bfed3b1e Journal of Minimal Access Surgery, Vol 7, Iss 1, Pp 52-60 (2011) Colorectal surgery laparoendoscopic single-site surgery minimal invasive single-site surgery single-incision laparoscopic surgery single port access Surgery RD1-811 Diseases of the digestive system. Gastroenterology RC799-869 article 2011 ftdoajarticles 2022-12-31T06:11:13Z Background: Minimally invasive single-site (MISS) surgery has recently been applied to colorectal surgery. We aimed to assess the current state of the art and the adequacy of preliminary oncological results. Methods: We performed a systematic review of the literature using Pubmed, Medline, SCOPUS and Web of Science databases. Keywords used were "Single Port" or "Single-Incision" or "LaparoEndoscopic Single Site" or "SILS™" and "Colon" or "Colorectal" and "Surgery". Results: Twenty-nine articles on colorectal MISS surgery have been published from July 2008 to July 2010, presenting data on 149 patients. One study reported analgesic requirement. The final incision length ranged from 2.5 to 8 cm. Only two studies reported fascial incision length. There were two port site hernias in a series of 13 patients (15.38%). Two "fully laparoscopic" MISS procedures with preparation and achievement of the anastomosis completely intracorporeally are reported. Future site of ileostomy was used as the sole access for the procedures in three studies. Lymph node harvesting, resection margins and length of specimen were sufficient in oncological cases. Conclusions: MISS colorectal surgery is a challenging procedure that seems to be safe and feasible, but the existing clinical evidence is limited. In selected cases, and especially when an ileostomy is planned, colorectal surgery may be an ideal indication for MISS surgery leading to a no-scar surgery. Despite preliminary oncological results showing the feasibility of MISS surgery, we want to stress the need to standardize the technique and carefully evaluate its application in oncosurgery under ethical committee control. Article in Journal/Newspaper SCAR Directory of Open Access Journals: DOAJ Articles
institution Open Polar
collection Directory of Open Access Journals: DOAJ Articles
op_collection_id ftdoajarticles
language English
topic Colorectal surgery
laparoendoscopic single-site surgery
minimal invasive single-site surgery
single-incision laparoscopic surgery
single port access
Surgery
RD1-811
Diseases of the digestive system. Gastroenterology
RC799-869
spellingShingle Colorectal surgery
laparoendoscopic single-site surgery
minimal invasive single-site surgery
single-incision laparoscopic surgery
single port access
Surgery
RD1-811
Diseases of the digestive system. Gastroenterology
RC799-869
Diana Michele
Dhumane Parag
Cahill R
Mortensen N
Leroy Joel
Marescaux Jacques
Minimal invasive single-site surgery in colorectal procedures: Current state of the art
topic_facet Colorectal surgery
laparoendoscopic single-site surgery
minimal invasive single-site surgery
single-incision laparoscopic surgery
single port access
Surgery
RD1-811
Diseases of the digestive system. Gastroenterology
RC799-869
description Background: Minimally invasive single-site (MISS) surgery has recently been applied to colorectal surgery. We aimed to assess the current state of the art and the adequacy of preliminary oncological results. Methods: We performed a systematic review of the literature using Pubmed, Medline, SCOPUS and Web of Science databases. Keywords used were "Single Port" or "Single-Incision" or "LaparoEndoscopic Single Site" or "SILS™" and "Colon" or "Colorectal" and "Surgery". Results: Twenty-nine articles on colorectal MISS surgery have been published from July 2008 to July 2010, presenting data on 149 patients. One study reported analgesic requirement. The final incision length ranged from 2.5 to 8 cm. Only two studies reported fascial incision length. There were two port site hernias in a series of 13 patients (15.38%). Two "fully laparoscopic" MISS procedures with preparation and achievement of the anastomosis completely intracorporeally are reported. Future site of ileostomy was used as the sole access for the procedures in three studies. Lymph node harvesting, resection margins and length of specimen were sufficient in oncological cases. Conclusions: MISS colorectal surgery is a challenging procedure that seems to be safe and feasible, but the existing clinical evidence is limited. In selected cases, and especially when an ileostomy is planned, colorectal surgery may be an ideal indication for MISS surgery leading to a no-scar surgery. Despite preliminary oncological results showing the feasibility of MISS surgery, we want to stress the need to standardize the technique and carefully evaluate its application in oncosurgery under ethical committee control.
format Article in Journal/Newspaper
author Diana Michele
Dhumane Parag
Cahill R
Mortensen N
Leroy Joel
Marescaux Jacques
author_facet Diana Michele
Dhumane Parag
Cahill R
Mortensen N
Leroy Joel
Marescaux Jacques
author_sort Diana Michele
title Minimal invasive single-site surgery in colorectal procedures: Current state of the art
title_short Minimal invasive single-site surgery in colorectal procedures: Current state of the art
title_full Minimal invasive single-site surgery in colorectal procedures: Current state of the art
title_fullStr Minimal invasive single-site surgery in colorectal procedures: Current state of the art
title_full_unstemmed Minimal invasive single-site surgery in colorectal procedures: Current state of the art
title_sort minimal invasive single-site surgery in colorectal procedures: current state of the art
publisher Wolters Kluwer Medknow Publications
publishDate 2011
url https://doaj.org/article/1371868a7332433d94c19444bfed3b1e
genre SCAR
genre_facet SCAR
op_source Journal of Minimal Access Surgery, Vol 7, Iss 1, Pp 52-60 (2011)
op_relation http://www.journalofmas.com/article.asp?issn=0972-9941;year=2011;volume=7;issue=1;spage=52;epage=60;aulast=Diana
https://doaj.org/toc/0972-9941
https://doaj.org/toc/1998-3921
0972-9941
1998-3921
https://doaj.org/article/1371868a7332433d94c19444bfed3b1e
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