Single-incision Laparoscopic Surgery: the Experience of Our First 165 Cases: Pearls and Pitfalls

Akram M Alashari, MD, Nissin Nahmias, MD, Bruce Bernstein, PhD, Stanton Smith, MD, Brian Pellini, MD, Justin Lee, MD, Ibrahim Daoud, MD. Division of Minimally Invasive Surgery St. Francis Hospital and Medical Center, Hartford, CT


Introduction: Single-incision laparoscopic surgery is being increasingly used and emerging as a common alternative to standard multiport laparoscopic surgery. A wide variety of general surgery procedures are being performed using this relatively new single-port access technique.

Methods: This is a retrospective review from November, 2008 to July 2011 of a wide variety of 165 single-incision laparoscopic cases, including cholecystectomies with and without intraoperative cholangiography, gastric banding, appendectomies, hiatal hernia repair, colon resection, adhesiolysis, and inguinal hernia repair. Patients included 126 females and 39 males, ranging in age from 18 to 70 years of age, and ranging in BMI from 20 to 40 kg/m2.

Results: Over the course of our retrospective review, our experience shows that a wide variety of general surgery intraabdominal procedures that have long been performed by standard multiport laparoscopic surgery are amenable to single-port access surgery as well. As our operative experience grew larger, operative times decreased. Overall cosmetic outcome was superior to that of standard multiport laparoscopy.

Conclusion: Our experience shows that a wide variety of intra-abdominal procedures that are regularly being performed with standard multi-port laparoscopic surgery are feasible with single-port access techniques. We have found that this variety of procedures can also be done for a variety of pathologies as well. Our study shows that differences in patient age, gender, and BMI did not hinder the applicability of single-incision laparoscopy. In addition, we felt that patients had equal overall outcome compared with standard laparoscopy with the benefit of a superior cosmetic outcome.

Session Number: Poster – Poster Presentations
Program Number: P530
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