Single Incision Laparoscopic Splenectomy: The First Two Cases

Abstract

Although there were some procedures performed with single incision technique like cholecystectomy, prostatectomy, and partial nephrectomy, as far as we are concerned this is the first report about laparoscopic splenectomy performed with single incision surgery technique.

The initial experience of dual port laparoscopy-assisted total gastrectomy as a reduced port surgery for total gastrectomy

“…In recent years, reduced port surgery (RPS), including single port surgery (SPS), in which fewer ports are used than in conventional procedures, has become increasingly popular in various surgical fields [1][2][3][4][5][6][7][8][9][10][11][12][13][14]. There have been reports describing the application of RPS to laparoscopic sleeve gastrectomy for morbid obesity or laparoscopic partial gastrectomy for gastrointestinal stromal tumors, and the use of RPS has recently also been reported in laparoscopy-assisted distal gastrectomy for gastric cancer [1,7,[15][16][17].…”

Single Incision Laparoscopic Splenectomy. Our First Experiences.

“…Many procedures such as (2,(10)(11)(12)(13)(14). The fi rst SILS practice in the world has been performed in our clinic (7). The most important question about SILS procedures is whether or not they have any superiority over three-port practices other than the better cosmetic results.…”

“…Moreover, since 2009, single incision laparoscopic surgery (SILS) practice has been performed in our clinic. the single incision laparoscopic splenectomy (SILSp) technique was fi rst described by Barbaros and Dinccag (7).…”

Needlescopic Splenectomy: A Safer Alternative to Single Incision Laparoscopic Splenectomy (SILS)

“…1 The authors claimed that current efforts aimed at reducing morbidity associated with minimally invasive surgery have been due to two "recent innovations" being developed, including transumbilical surgery with one very large port having three working channels, or three ports within the umbilicus, called single incision laparoscopic surgery (SILS).The authors may have been unaware of the interim development of needlescopic surgery in the mid-90s, in which a major umbilical trocar of 12 mm is used for vision, stapling, clipping, energy sources, and extraction sites, whereas 2 mm or less instruments are used in the periphery (i.e., subcostal left for a splenectomy) for retraction. 2 A needlescopic endoscope was used when the umbilical channel was used for major work.…”

“…1 The authors claimed that current efforts aimed at reducing morbidity associated with minimally invasive surgery have been due to two "recent innovations" being developed, including transumbilical surgery with one very large port having three working channels, or three ports within the umbilicus, called single incision laparoscopic surgery (SILS).…”