Minireviews
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Jun 25, 2016; 8(12): 444-450
Published online Jun 25, 2016. doi: 10.4253/wjge.v8.i12.444
Single port laparoscopic liver surgery: A minireview
Ilhan Karabicak, Kagan Karabulut
Ilhan Karabicak, Kagan Karabulut, Department of General Surgery, Medical Faculty, Ondokuz Mayis University, 55000 Samsun, Turkey
Author contributions: All authors contributed to this manuscript.
Conflict-of-interest statement: No potential conflicts of interest relevant to this article were reported.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Ilhan Karabicak, MD, FEBS, Department of General Surgery, Medical Faculty, Ondokuz Mayis University, 55000 Samsun, Turkey. ikarabicak@yahoo.com
Telephone: +90-533-2416895
Received: February 4, 2016
Peer-review started: February 14, 2016
First decision: March 23, 20116
Revised: April 20, 2016
Accepted: May 17, 2016
Article in press: May 27, 2016
Published online: June 25, 2016
Abstract

Nowadays, the trend is to perform surgeries with “scarless” incisions. In light of this, the single-port laparoscopic surgery (SPLS) technique is rapidly becoming widespread due to its lack of invasiveness and its cosmetic advantages, as the only entry point is usually hidden in the umbilicus. The interest in “scarless” liver resections did not grow as rapidly as the interest in other scarless surgeries. Hepatopancreatobiliary surgeons are reluctant to operate a malignant lesion through a narrow incision with limited exposure. There are concerns over adverse oncological outcomes for single-port laparoscopic liver resections (SPL-LR) for hepatocellular carcinoma or metastatic colorectal cancer. In addition, getting familiar with using the operating instruments through a narrow incision with limited exposure is very challenging. In this article, we reviewed the published literature to describe history, indications, contraindications, ideal patients for new beginners, technical difficulty, advantages, disadvantages, oncological concern and the future of SPL-LR.

Keywords: Single-port laparoscopic surgery, Single-port laparoscopic liver resection, Minimal invasive liver surgery, Laparoscopic liver resection

Core tip: This manuscript highlights the indications, contraindications, technical difficulties, advantages and disadvantages of the single-incisionlaparoscopic (SIL) liver surgery. The authors wanted to share their experience of SIL liver surgery by this review and to create a referrence review for new beginners.