Single Incision Laparoscopic Surgery

What Is Single-Port Laparoscopy Surgery?

Single-port laparoscopic surgery is an option for patients who wish to minimise the number of surgical port sites, compared to traditional laparoscopic surgery. In general, laparoscopic surgery allows quicker patient recovery time, is less painful, and leaves smaller, neater scars compared to open surgery.

Does Single-Port Laparoscopy Surgery Differ From Laparoscopy?

Although single-port laparoscopy and laparoscopy surgeries utilise relatively similar instruments, they are still quite different. This difference comes from the number of incisions required with each procedure.

While conventional laparoscopy surgery requires several incisions on the belly, single-port laparoscopy aims at decreasing the number of incisions to only one port. This is the main reason the single-port laparoscopy is considered an advanced option of laparoscopy, with the possible advantage of better cosmesis.

What Is Single-Port Laparoscopic Surgery Performed For?

Single-port laparoscopy is a technique used for various treatments; It is also sometimes used for diagnostic purposes.

Below is a list of the common cases where single-port laparoscopy may be used:

  • Cholecystectomy
  • Appendectomy
  • Hepatectomy
  • Hernia repair, including inguinal, femoral, incisional, hiatal, and ventral
  • Splenectomy Colostomy/Colectomy

How Is Single-Port Laparoscopy Surgery Performed?

Firstly, the surgeon will make a single, small port (cut) on the stomach area, usually at the umbilicus. Through this port, laparoscopic instruments and the endoscopic camera are inserted. The camera helps the surgeon examine the inside of the abdomen and proceed with the diagnosis, treatment, or removal of the diseased organs or tissues.

Advantages of Single-Port Laparoscopy

The single-port laparoscopy surgery has four main advantages:

  • Lower risk of bacterial infections
  • Shorter recovery time
  • Reduced need for painkillers (analgesics) post-surgery
  • Fewer external scars

However, single-port laparoscopy requires special instrumentation, which can increase the overall surgical cost by 10-20%.

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