Single-incision laparoscopic surgery: case report of SILS adjustable gastric banding

Early surgeon impressions and technical difficulty associated with laparoendoscopic single-site surgery: a Society of American Gastrointestinal and Endoscopic Surgeons learning center study

“…The LESS trainer configurations used some of the best available instrumentation designed to overcome problems associated with LESS including articulating instruments, an extralong 50 cm angled laparoscope, and a right-angle light cord adapter. Some surgeons advocate that using separate trocars through a single incision may provide better range of motion than some currently available multiport access devices [10,11,19]. However, numerous reports have documented favorable results using the device we used, and this device was very practical for providing a standardized box trainer setup [21].…”

“…The LESS approach currently is used for procedures such as laparoscopic adjustable gastric banding, sleeve gastrectomy, colectomy, adrenalectomy, nephrectomy, and other basic and advanced procedures [4][5][6][7][8][9][10][11].…”

Bariatric single incision laparoscopic surgery – review of initial experience

“…One, by Teixeira et al [7], was excluded from the analysis as the presented data on 10 patients was further included by the authors in larger published case series [8]. Seven articles were case reports or series of cases of laparoscopic adjustable gastric banding (LAGB) using one of the SILS techniques (a total of 87 patients) [8][9][10][11][12][13][14]. Four articles described 10 cases of laparoscopic sleeve gastrectomies (LSG) using SILS technique [15][16][17][18].…”

“…Access in the midpoint of the midline with a vertical incision adds to the safety of the procedure, although it misses the cosmetic benefit from SILS. Oltman et al used a left subcostal incision for port placement [12]. The incision length varied between 1.2 cm and 8.5 cm [8][9][10][11][12][13][14][15][16][17][18].…”

“…The hospitalisation period was usually short. In single case reports using strict selection criteria patients were discharged up to 24 hours following surgery [8,[10][11][12][13][14].…”