Our Summary

This research paper discusses the evolution of surgical techniques, specifically focusing on single incision laparoscopic surgery (SILS). SILS is a modern method that combines traditional multiport laparoscopy and natural orifice transluminal endoscopic surgery. It has been found to be safe and feasible for treating both non-cancerous and cancerous colorectal diseases.

The main advantages of SILS are that it potentially offers better cosmetic results, less postoperative pain, quicker recovery time, and improved quality of life. However, this method requires a higher level of surgical skill. The paper reviews the history, technology, techniques, benefits, and limitations of SILS for colorectal surgery, using existing published studies and literature.

FAQs

  1. What is single incision laparoscopic surgery (SILS) and how does it compare to traditional methods?
  2. What are the main advantages of SILS in treating colorectal diseases?
  3. What are the limitations of SILS and what level of surgical skill does it require?

Doctor’s Tip

One helpful tip a doctor might tell a patient about laparoscopic surgery is to follow all pre-operative instructions carefully, including fasting guidelines and medication instructions. It is important to discuss any concerns or questions with your surgeon before the procedure to ensure the best possible outcome. After surgery, it is important to follow all post-operative instructions, including proper wound care and activity restrictions, to promote healing and reduce the risk of complications. Additionally, maintaining a healthy lifestyle and following any recommended dietary or exercise guidelines can help speed up recovery and improve overall outcomes.

Suitable For

Patients who are typically recommended for laparoscopic surgery, including SILS, are those who have non-cancerous and cancerous colorectal diseases such as diverticulitis, inflammatory bowel disease, colorectal cancer, polyps, and other benign conditions. These patients may benefit from the minimally invasive approach of laparoscopic surgery, which can lead to less postoperative pain, shorter hospital stays, and faster recovery times compared to traditional open surgery.

It is important to note that not all patients may be suitable candidates for laparoscopic surgery, as it depends on various factors such as the size and location of the tumor, the patient’s overall health and medical history, and the surgeon’s expertise in performing laparoscopic procedures. Patients with severe obesity, extensive scarring from previous surgeries, or other medical conditions that may complicate the surgery may not be recommended for laparoscopic surgery.

Overall, laparoscopic surgery, including SILS, is a safe and effective option for many patients with colorectal diseases, and can offer numerous benefits compared to traditional open surgery. It is important for patients to discuss their treatment options with their healthcare provider to determine the best approach for their individual needs.

Timeline

  • Before laparoscopic surgery:
  1. Patient consults with a surgeon to discuss the need for surgery and the risks and benefits of laparoscopic surgery.
  2. Patient undergoes preoperative testing, such as blood tests, imaging scans, and possibly a colonoscopy.
  3. Patient may be advised to stop taking certain medications or to follow a specific diet in the days leading up to surgery.
  4. Patient may be instructed to shower with a special antibacterial soap the night before or the morning of surgery.
  5. Patient arrives at the hospital or surgical center on the day of surgery and undergoes preoperative preparation, such as changing into a hospital gown and receiving anesthesia.
  • After laparoscopic surgery:
  1. Patient wakes up in the recovery room and is monitored by medical staff for any complications.
  2. Patient may experience some pain or discomfort at the incision sites, which is usually managed with pain medication.
  3. Patient is encouraged to get up and move around as soon as possible to prevent blood clots and promote healing.
  4. Patient may be discharged from the hospital the same day or within a few days, depending on the type of surgery and individual recovery.
  5. Patient is advised on postoperative care, including wound care, diet, activity restrictions, and follow-up appointments.
  6. Patient gradually resumes normal activities and may be able to return to work and other daily routines within a few weeks.
  7. Patient attends follow-up appointments with the surgeon to monitor healing and address any concerns.

What to Ask Your Doctor

Some questions that a patient should ask their doctor about laparoscopic surgery include:

  1. What are the specific benefits of laparoscopic surgery compared to traditional open surgery for my condition?
  2. What are the potential risks and complications associated with laparoscopic surgery?
  3. How experienced are you in performing laparoscopic surgery for my specific condition?
  4. What is the success rate of laparoscopic surgery for my condition?
  5. How long is the recovery period after laparoscopic surgery?
  6. Will I have any visible scars after laparoscopic surgery?
  7. Will I need any special postoperative care or follow-up appointments after laparoscopic surgery?
  8. Are there any specific lifestyle changes or precautions I should take after laparoscopic surgery?
  9. How soon can I return to normal activities and work after laparoscopic surgery?
  10. Are there any alternative treatment options to consider besides laparoscopic surgery for my condition?

Reference

Authors: Madhoun N, Keller DS, Haas EM. Journal: World J Gastroenterol. 2015 Oct 14;21(38):10824-9. doi: 10.3748/wjg.v21.i38.10824. PMID: 26478673