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Single-Incision Laparoscopy: Boon or Bust?

One of the most recent trends in laparoscopic surgery is to access the peritoneal cavity via the umbilicus using a single skin incision. Single-incision laparoscopy introduces additional constraints to the conventional laparoscopic environment and requires surgeons to use new flexible and articulating instruments and novel access platforms. Over the past two years, medical device companies have been racing to develop enabling technologies for single-incision laparoscopy, but the approach is controversial and its future appears uncertain as surgeons debate the cost/benefits of the single-incision laparoscopic approach.

by Anne Staylor

Laparoscopic abdominal surgery traditionally requires two to four small (one-quarter inch) incisions to allow passage of the scope and surgical instruments into the abdominal cavity. While much less invasive than open laparotomy, which involves a six- to 14-inch incision and an extended recovery time, these small incisions are still painful and they do leave scars on the abdomen

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