title: Laparoscopic surgery of the spleen through single umbilical incision.
abstract: BACKGROUND
  Single incision transumbilical laparoscopic procedures are the next step in development of minimally invasive surgery. Recent studies prove that the new technique can be a safe alternative to multiport laparoscopy; therefore it is becoming more and more popular.
  
  
  OBJECTIVE
  We present our preliminary experience with single incision laparoscopy of the spleen.
  
  
  METHODS
  We analyse a group of 9 patients (7 women and 2 men) in whom we attempted single incision laparoscopic surgery of the spleen.
  
  
  RESULTS
  Single incision laparoscopy was successful in all patients - in 7 of them we performed splenectomy and in 2 unroofing of the splenic cyst. Additionally, in 3 patients we performed concomitant cholecystectomy. The operative technique was identical to multiport procedures. One patient required reoperation due to intra-abdominal bleeding from the wound on the first postoperative day. In one patient due to superficial injury of the stomach wall continuous suture was used to prevent perforation. In our opinion these complications are not the result of the new technique.
  
  
  CONCLUSIONS
  The described technique can become a safe alternative to multiport laparoscopy. It is a reasonable alternative in young patients to whom an excellent cosmetic effect is particularly important because until now it is the only documented advantage of this surgical technique.
authors: 2 Department of Surgery, Jagiellonian University Medical College, Krakow, Poland.
authors: Michał
authors: M
authors: Pędziwiatr
authors: Maciej
authors: M
authors: Matłok
authors: Piotr
authors: P
authors: Major
authors: Daria
authors: D
authors: Kuliś
authors: Andrzej
authors: A
authors: Budzyński
keywords: minimally invasive surgery; single access; splenectomy
references: Ann Chir. 2000 Jul;125(6):522-9
references: 10986763
references: J Minim Access Surg. 2011 Jan;7(1):6-16
references: 21197236
references: Am J Surg. 2011 Sep;202(3):254-8
references: 21871979
references: JSLS. 2011 Jul-Sep;15(3):384-6
references: 21985729
references: Int Surg. 1998 Oct-Dec;83(4):303-7
references: 10096747
references: Ann Surg. 2012 Jan;255(1):66-9
references: 22104563
references: Surg Endosc. 1992 Jul-Aug;6(4):183-5
references: 1387735
references: J Laparoendosc Adv Surg Tech A. 2000 Dec;10(6):319-23
references: 11132911
references: Pol Merkur Lekarski. 2008 Oct;25(148):380-5
references: 19145941
references: Chirurg. 2010 May;81(5):405-6
references: 20306011
references: Surg Endosc. 2008 Apr;22(4):821-48
references: 18293036
references: J Gastrointest Surg. 2008 Jul;12(7):1293-300
references: 18057995
references: Adv Med Sci. 2011;56(1):18-24
references: 21576062
references: Surg Endosc. 1997 Feb;11(2):108-12
references: 9069137
references: Br J Surg. 1997 May;84(5):695
references: 9171771
references: Surg Endosc. 2012 May;26(5):1296-303
references: 22083331
references: J Minim Access Surg. 2011 Jan;7(1):99-103
references: 21197253
references: Ann Surg. 1998 Oct;228(4):568-78
references: 9790346