Journal of Gastrointestinal & Digestive System
Open Access

Abstract

Single Incision Laparoscopic Surgery (SILS) is a new age laparoscopic technique where laparoscopic surgery will be performed through a single port rather than three or more ports as in conventional laparoscopy. Though it had initial popularity, it failed to impress the surgical community due to its ergonomic difficulty. Feasibility of various procedures is tried in multiple centers and the ergonomics are modified accordingly. Although results are similar to laparoscopy, SILS has its limitations like not possible for all laparoscopic surgeries with the present available instruments, more time consuming, difficult traction techniques and ergonomic limitations. However, early results are promising under technically strong hands and it is already proved beneficial in few procedures like fundoplication, hysterectomy, splenectomy, sleeve gastrectomy, etc. Various ergonomic and instrument modifications are tried and postulated for the same including numerous ports to enhance the performance. However, ergonomic modifications in line with the principles of laparoscopy and instrumentation are mandatory for effective performance. With the recommendations of ergonomic modifications and liver and organ transplantation techniques as per authors experience and research, even complex advanced minimal access surgeries like gastrectomy, colectomy, gastric bypass, etc can be achieved by SILS technique. The recommendations include the ideal SILS port, instruments, planes of instrumentation for dissection and manipulation during the procedures. With the possibility of more new generation instruments to come, SILS is all set to replace laparoscopy in selected cases. However, long term multi-centric studies are required to prove the advantages over conventional laparoscopy.

Biography

Email: raj@apollobariatrics.com