Single-port laparoscopy

Single-port laparoscopy (SPL) is a surgical procedure that is performed through a single incision, usually in the umbilicus (navel). It is also known as single-incision laparoscopic surgery (SILS) or single access laparoscopic surgery (SALS).

History

The first reported SPL procedure was a cholecystectomy (gallbladder removal) performed in 1997. Since then, the technique has been used for a variety of abdominal surgeries, including appendectomy (appendix removal), hysterectomy (uterus removal), and colectomy (colon removal).

Procedure

In SPL, a single incision is made in the umbilicus, through which a special port is inserted. This port allows multiple surgical instruments to be inserted through the same incision. The surgeon then performs the procedure using a laparoscope, a long, thin tube with a high-intensity light and a high-resolution camera at the front.

Advantages and Disadvantages

The main advantage of SPL over traditional laparoscopy is that it leaves a less noticeable scar, as the incision is hidden in the umbilicus. It may also cause less postoperative pain and allow for a quicker recovery. However, SPL is technically more challenging than traditional laparoscopy, as the surgeon has to operate through a single incision. This can limit the range of motion of the surgical instruments and make the procedure more difficult.

See Also

• Laparoscopy
• Surgical instrument
• Abdominal surgery

References

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