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Surgical Endoscopy
Erschienen in: Surgical Endoscopy 2/2011

01.02.2011 | Review

The role of single-incision laparoscopic surgery in abdominal and pelvic surgery: a systematic review

verfasst von: Kamran Ahmed, Tim T. Wang, Vanash M. Patel, Kamal Nagpal, James Clark, Mariam Ali, Samer Deeba, Hutan Ashrafian, Ara Darzi, Thanos Athanasiou, Paraskevas Paraskeva

Erschienen in: Surgical Endoscopy | Ausgabe 2/2011

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Abstract

Objective

This review aimed to determine the role of single-incision laparoscopic surgery (SILS) in abdominal and pelvic operations.

Data sources

The Medline, EMBASE, and PsycINFO databases were systematically searched until October 2009 using “single-incision laparoscopic surgery” and related terms as keywords. References from retrieved articles were reviewed to broaden the search

Study selection

The study included case reports, case series, and empirical studies that reported SILS in abdominal and pelvic operations.

Data extraction

Number of patients, type of instruments, operative time, blood loss, conversion rate, length of hospital stay, length of follow-up evaluation, and complications were extracted from the reviewed items

Data synthesis

The review included 102 studies classified as level 4 evidence. Most of these studies investigated SILS in cholecystectomy (n = 34), appendectomy (n = 24), and nephrectomy (n = 17). For these procedures, operative time, hospital stay, and complications were comparable with those of conventional laparoscopy. Conversion to conventional laparoscopy was seldom performed in cholecystectomy (range, 0–24%) and more frequent in appendectomy (range, 0–41%) and nephrectomy (range, 0–33%).

Conclusion

The potential benefits of SILS include superior cosmesis and possibly shorter operative time, lower costs, and a shortened time to full physical recovery. Careful case selection and a low threshold of conversion to conventional laparoscopic surgery are essential. Multicenter, randomized, prospective studies are needed to compare short- and long-term outcome measures against those of conventional laparoscopic surgery.
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Metadaten
Titel
The role of single-incision laparoscopic surgery in abdominal and pelvic surgery: a systematic review
verfasst von
Kamran Ahmed
Tim T. Wang
Vanash M. Patel
Kamal Nagpal
James Clark
Mariam Ali
Samer Deeba
Hutan Ashrafian
Ara Darzi
Thanos Athanasiou
Paraskevas Paraskeva
Publikationsdatum
01.02.2011
Verlag
Springer-Verlag
Erschienen in
Surgical Endoscopy / Ausgabe 2/2011
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-010-1208-6

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Karpaltunnelsyndrom BDC Leitlinien Webinare
CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.
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