title: [Single incision laparoscopic surgery: analysis of the national register].
abstract: BACKGROUND
  Laparoscopic surgery through a single incision is an innovative concept which is a challenge for surgeons to implement and develop. The interest aroused by these techniques in Spain led to the Endoscopy Section of the Spanish Association of Surgeons (AEC) to start a National Register for Single-Incision Surgery (RNCIU). The aim of this study was to collect the primary clinical data, techniques, and the possible complications of these techniques in Spain.
  
  
  METHODS
  Data were gathered using a form available on the AEC website. The forms included in this study correspond to those received between June 2010 and June 2011.
  
  
  RESULTS
  A total of 35 centers had taken part during the study period, with 1,198 forms being collected. The surgeries performed included 62.2% cholecystectomies, 22% appendectomies, and 7.8% colectomies. Procedures on solid organs (3.4%), bariatric surgery (2.7%), and various hernia repairs (1.9%), were also registered. The overall incidence of complications was 0.8%. The mortality rate in the series was 0.1%.
  
  
  CONCLUSIONS
  Single incision laparoscopic surgery is a novel concept that is not beyond our scientific community. The results of the Register demonstrate the feasibility of numerous effective and safe procedures. Finally, the RNCIU is an important data source to be able to study sub-groups of diseases in detail, with the aim of advancing the knowledge of these techniques and generating scientific evidence.
authors.affiliation: Servicio de Cirugía, Hospital General La Mancha Centro, Alcázar de San Juan, Ciudad Real, España. cmsurgery@hotmail.com
authors.forename: Carlos
authors.initials: C
authors.lastname: Moreno-Sanz
authors.forename: Antonio
authors.initials: A
authors.lastname: Morandeira-Rivas
authors.forename: Salvador
authors.initials: S
authors.lastname: Morales-Conde
authors.forename: Eduardo M
authors.initials: EM
authors.lastname: Targarona Soler
authors.forename: José Luis
authors.initials: JL
authors.lastname: Salvador-Sanchís
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011996:Records; D012042:Registries; D013030:Spain; D055815:Young Adult