title: Review of 500 single incision laparoscopic colorectal surgery cases - Lessons learned.
abstract: Single incision laparoscopic surgery (SILS) is a minimally invasive platform with specific benefits over traditional multiport laparoscopic surgery. The safety and feasibility of SILS has been proven, and the applications continue to grow with experience. After 500 cases at a high-volume, single-institution, we were able to standardize instrumentation and operative steps, as well as develop adaptations in technique to help overcome technical and ergonomic challenges. These technical adaptations have allowed the successful application of SILS to technically difficult patient populations, such as pelvic cases, inflammatory bowel disease cases, and high body mass index patients. This review is a frame of reference for the application and wider integration of the single incision laparoscopic platform in colorectal surgery.
authors.affiliation: Deborah S Keller, Juan R Flores-Gonzalez, Sergio Ibarra, Eric M Haas, Colorectal Surgical Associates, Houston, TX 77054, United States.
authors.forename: Deborah S
authors.initials: DS
authors.lastname: Keller
authors.affiliation: Deborah S Keller, Juan R Flores-Gonzalez, Sergio Ibarra, Eric M Haas, Colorectal Surgical Associates, Houston, TX 77054, United States.
authors.forename: Juan R
authors.initials: JR
authors.lastname: Flores-Gonzalez
authors.affiliation: Deborah S Keller, Juan R Flores-Gonzalez, Sergio Ibarra, Eric M Haas, Colorectal Surgical Associates, Houston, TX 77054, United States.
authors.forename: Sergio
authors.initials: S
authors.lastname: Ibarra
authors.affiliation: Deborah S Keller, Juan R Flores-Gonzalez, Sergio Ibarra, Eric M Haas, Colorectal Surgical Associates, Houston, TX 77054, United States.
authors.forename: Eric M
authors.initials: EM
authors.lastname: Haas
mesh_terms: D000328:Adult; D000368:Aged; D015992:Body Mass Index; D002983:Clinical Competence; D003082:Colectomy / Q000009:adverse effects / Q000379:methods*; D003106:Colon / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D059032:Learning Curve; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D011183:Postoperative Complications / Q000209:etiology; D012007:Rectum / Q000601:surgery*; D012307:Risk Factors; D065287:Robotic Surgical Procedures; D016896:Treatment Outcome
keywords: Laparoscopic colectomy; Minimally invasive colorectal surgery; Single-incision laparoscopic surgery
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