New approaches in laparoscopic surgery for colorectal diseases: The totally laparoscopic and single-incision approaches

Single-incision Laparoscopic Surgery

in many gynecologic procedures with better results in terms of minimal perioperative morbidity and shorter hospital stay, with consequent improved quality of life compared to laparotomic approach1,2. Despite this wellknown advantages, laparoscopy still requires 0.5 to 1.5 cm long incisions and three to five ports to be performed, each working port implying with an inherent risk of bleeding, inf...

Single – Incision Laparoscopic Surgery for Rectal Cancer

There have been major advances in the treatment of rectal cancer in the last two decades. Improvements in surgical instrumentation has dramatically impacted the surgical approach to rectal cancer. Particularly laparoscopic procedures have been assumed a central role in the management of benign and malignant colorectal diseases as a result of a recent paradigm shift toward minimally invasive sur...

Single Incision Laparoscopic Surgery (SILS) for Cholecystectomy

Single-Incision Laparoscopic Surgery for Intersigmoid Hernia

Intersigmoid hernia is a rare form of internal hernia. Here, we report a case of intersigmoid hernia and provide a brief review of the 62 cases involving the mesosigmoid reported in Japan from 2000 to 2013. In the current case, a 26-year-old man with no previous history of abdominal surgery presented with abdominal pain and vomiting. Abdominal computed tomography revealed an extensively dilated...

Preemptive Analgesia in Single-Incision Laparoscopic Surgery

cision is closely associated with postoperative wound pain [9]. The single umbilical incisions reported in other studies typically reached lengths of 15 to 20 mm. Although postoperative pain has not been a major concern since the introduction of the routine laparoscopic cholecystectomy (LC), supporters of a single-incision LC (SILC) advocate the hypothesis that a reduction in the number of inci...