title: [Double incision laparoscopic surgery].
abstract: BACKGROUND
  Single incision laparoscopic surgery (SILS) is a common alternative to classical laparoscopic surgery. However, material costs of SILS significantly limit the spreading of this method to most of surgical departments in the Czech Republic. Therefore we introduced DILS, which is technically more difficult than 3- to 4-incision laparoscopy but comparable cost-wise and its result approaches the cosmetic effect of SILS.
  
  
  METHODS
  We describe the technical approach for DILS. We evaluate our own group of patients who were operated on in 2012-2014.
  
  
  RESULTS
  Nine minor complications evaluated as Clavien-Dindo grade I-IIIb were seen in the group of 64 patients undergoing laparoscopic cholecystectomy, appendectomy or TAPP operation of groin hernias using DILS method. DILS-cholecystectomy was converted to multiple-ports laparoscopy 4 times.
  
  
  CONCLUSIONS
  In our group, DILS did not present a higher complication rate than laparoscopic surgery using multiple incisions. This method is well-regarded by the patients in terms of its aesthetic results, and economically it is more advantageous than SILS.
  
  
  BACKGROUND
  minimally invasive surgery - SILS - double incision laparoscopic surgery.
authors.forename: P
authors.initials: P
authors.lastname: Horák
authors.forename: Z
authors.initials: Z
authors.lastname: Janeček
authors.forename: M
authors.initials: M
authors.lastname: Červinková
authors.forename: J
authors.initials: J
authors.lastname: Marvan
authors.forename: V
authors.initials: V
authors.lastname: Průchová
authors.forename: J
authors.initials: J
authors.lastname: Fanta
mesh_terms: D001062:Appendectomy / Q000379:methods*; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D018153:Czech Republic; D004954:Esthetics; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D000067029:Physical Appearance, Body; D000072836:Surgical Wound