Single-port laparoscopic surgery in children: concept and controversies of the new technique

Felix C Blanco, Timothy D Kane, Felix C Blanco, Timothy D Kane

Abstract

Single-incision laparoscopic surgery (SILS) is emerging as an alternative technique to conventional laparoscopy for the treatment of common surgical diseases. Despite its wide use, the adoption of SILS in children has been slower since the broad application of minimally invasive techniques in children, in general, has historically lagged behind those in adults. This paper reviews the evolution of SILS from its original conception and its application in the field of pediatric surgery.

Figures

Figure 1
Figure 1
Single-incision multiple-trocar technique. Three low-profile trocars are inserted through separate contiguous incisions in the fascia. A transabdominal suture used to retract the gallbladder fundus is shown in the RUQ.
Figure 2
Figure 2
Multitrocar port inserted for single-incision laparoscopic cholecystectomy. An extralong endoscope and two instruments with different lengths were used to avoid hand clashing.

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Source: PubMed

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