title: Laparoscopic Distal Pancreatectomy Using Single-Port Platform: Technique, Safety, and Feasibility in a Clinical Case Series.
abstract: BACKGROUND
  A novel technique using a single-incision laparoscopic approach has been described for several laparoscopic procedures. The aim of this article is to describe our experience with an alternative technique for laparoscopic distal pancreatectomies using a single-port platform.
  
  
  METHODS
  We have performed this procedure on 20 patients with pancreatic tumors in the pancreatic body or tail. A transumbilical incision is performed, and a single-incision platform is introduced. The stomach is sutured to the abdominal wall to expose the pancreas. This technique uses an additional 5-mm trocar in the left quadrant, ultimately used for drainage after the end of the procedure.
  
  
  RESULTS
  The median operative time was 176 minutes, and the hospital stay was 2 days. Mortality was 0%, and morbidity was 20%; 4 patients developed grade A pancreatic fistula. During follow-up (median, 11 months), no patient developed an incisional hernia. The cosmetic appearance of the incision was excellent in all cases.
  
  
  CONCLUSIONS
  Laparoscopic distal pancreatectomy using a single-port platform is feasible and can be successfully performed by surgeons with experience in pancreatic and advanced laparoscopic surgery.
authors.affiliation: Sirio Libanes Hospital , São Paulo, Brazil .
authors.forename: Marcel Autran C
authors.initials: MA
authors.lastname: Machado
authors.affiliation: Sirio Libanes Hospital , São Paulo, Brazil .
authors.forename: Rodrigo C
authors.initials: RC
authors.lastname: Surjan
authors.affiliation: Sirio Libanes Hospital , São Paulo, Brazil .
authors.forename: Fábio Ferrari
authors.initials: FF
authors.lastname: Makdissi
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010180:Pancreatectomy / Q000009:adverse effects / Q000379:methods*; D010185:Pancreatic Fistula / Q000209:etiology*; D010190:Pancreatic Neoplasms / Q000601:surgery*; D014472:Umbilicus / Q000601:surgery; D055815:Young Adult