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Single-Incision Laparoscopic Colectomy

Single-Incision Laparoscopic Colectomy. Eric M. Haas, MD, FACS, FASCRS Minimally Invasive Colon and Rectal Surgery. Single Port devices. SILS TM. GelPOINT TM. Standard Laparoscopic Instruments. 5-mm 30° Camera Lens (Karl Storz). Readily available Short learning curve.

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Single-Incision Laparoscopic Colectomy

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  1. Single-Incision Laparoscopic Colectomy Eric M. Haas, MD, FACS, FASCRS Minimally Invasive Colon and Rectal Surgery

  2. Single Port devices SILS TM GelPOINT TM

  3. Standard Laparoscopic Instruments

  4. 5-mm 30° Camera Lens (Karl Storz) • Readily available • Short learning curve

  5. Flexible Laparoscopic Devices

  6. Single Incision Laparoscopic Colectomy Right colectomy Left colectomy Transverse colectomy Haas EMInt J Colorectal Dis 2011

  7. Single Incision Laparoscopic Colectomy Haas EM Tech in Coloproct 2011

  8. Final incision

  9. Haas EMSurgEndosc 2010

  10. Haas EMInt J Colorectal Dis 2011

  11. Haas EM Tech in Coloproct 2011

  12. Haas EM J GastrointesSurg 2011

  13. Haas EMSurgEndosc 2011

  14. Conclusions • Single-Incision laparoscopic colectomy is both safe and viable for benign and malignant diseases • SILC can be performed with standard laparoscopic instruments • SILC demands high laparoscopic skills and should be adopted once laparoscopic learning curve has been overcome • The main limitations of single-incision laparoscopic surgery are limited triangulation, maneuverability, and non-ergonomic characteristics

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