Review Article

The Role of the Single Incision Laparoscopic Approach in Liver and Pancreatic Resectional Surgery

Table 1

Published evidence on the use of SILS in liver resectional surgery.

Procedure (number)Indication (number)Location of lesion (number)Size of lesion (mm) (median and range) or (mean ± SD)Conversion rate (%)Operative time (min) (median and range) or (mean ± SD)Blood loss (mL) (median and range) or (mean ± SD)LOS (days) (median and range) or (mean ± SD)Complications (number)

Claude et al., 2014 [12]NALR (7)FNA (1)
Adenoma (1)
HCC (2)
CRCLM (2)
HM (1)
Segment III (2)
Segment V (2)
Segment VI (3)
20 (20–47)0110 (60–150)50 (25–150)5 (1–13)0

Tzanis et al., 2014 [13]LLR (1)
NALR (2)
Adenoma (1)
HCC (1)
FNH (1)
Segment II/III (1)
Segment VI (1)
Segment VI/VII (1)
38 (12–90)0110 (100–120)<50 (<50–150)3 (1–3)1 (allergic reaction)

Wu et al., 2014 [14]Proximal left (1)
LLR (8)
NALR (9)
HM (8)
FNH (1)
CRCLM (2)
HCC (2)
Hepatolithiasis (2)
Adenoma (2)
Segment II (3)
Segment IV (1)
Segment V/VI (3)
Segment VIII (2)
49 (20–105)0117.9 (55–185)256.5 (30–830)7 (3–10)Pleural effusion (2)
Wound infection (1)
Incisional hernia (1)

Shetty et al., 2012 [15]NALR (6)
SLR (11)
LH (1)
LLR (4)
RH (1)
HCC (23)Segment I/VI (2)
Segment II (5)
Segment II/III (1)
Segment IV (2)
Segment V (1)
Segment VI (11)
Segment VII (1)
Segment VI/VII (1)
36 (10–90)26205 (95–545)500 (100–2500)8 (5–16)Bile leak (1)

Røsok and Edwin, 2011 [16]NALR(1)CRCLM (1)Segment V (1)1501205Pulmonary oedema (1)

Toyama et al., 2013 [17]NALR (1)HCC/CCA (1)Segment VI (1)300180MinimalNone

Kobayashi et al., 2010 [18]NALR (1)HCC (1)Segment III (1)20070Minimal1None

Belli et al., 2011 [19]NALR (1)HCC (1)Segment III (1)0130Minimal2None

Pan et al., 2012 [20]LLR (3)
NALR (5)
HCC (4)
Multiple cysts (2)
CRCLM (1)
HM (1)
Segment II/III (4)
Segment IV (2)
Segment VI (2)
47 (35–110)089 (67–123)58 (50–100)3 (2–6)None

Camps Lasa et al., 2014 [21]LH (1)
LLR (4)
CRCLM (4)
Hydatid cyst (1)
Segment II (1)
Segment III (2)
Segment II/III (2)
24 (7–62)0135 (120–210)3 (3-4)None

Kim et al., 2014 [22]LLR (1)
NALR (2)
HCC (3)Segment II (2)
Segment III (1)
Segment VI (1)
17 (10–36)0227 (142–228)200 (200–250)7 (3–8)Pleural effusion (1)

Hu et al., 2011 [23]LLR (1)
NALR (1)
HM (2)Segment II/III (1)
Segment IV (1)
48 (15–80)01201003None

Gaujoux et al., 2011 [24]LH (3)
NALR (1)
HCC (1)
Ovarian cancer metastasis (1)
CRCLM (2)
Segment III (1)
Segment IV (1)
Segment III/IV (2)
14 (13–20)0115 (55–140)38 (20–50)2None

Kim et al., 2013 [25]LLR (1)CRCLM (1)Segments II/III (1)800315 (synchronous high anterior resection)11Atelectasis (1)

Machado et al., 2014 [26]LLR (8)Adenoma (6)
FNH (1)
CCA (1)
068 (45–100)<1001 (1-2)None

Dapri et al., 2012 [27]LLR (1)
NALR (2)
Hydatid (2)
CRCLM (1)
Segment II/III (1)
Segment VII (1)
Segment VIII (1)
0158 (114–185)350 (200–500)5 (4-5)None

Zhao et al., 2011 [28]LLR (4)
NALR (8)
HCC (2)
Haemangioma (6)
FNH (3)
Adenoma (1)
Segment II/III (3)
Segment III (5)
Segment IV (1)
Segment IV/V (1)
Segment V (1)
Segment V/VIII (1)
(11–96)17 (35–160)45 (20–800) (2–8)Massive haemorrhage (1)
Bile leak (1)

Cai et al., 2010 [29]NALR (1)HM (1)Segment II/III (1)38075802None

Aldrighetti et al., 2011 [30]LLR (1)CRCLM (1)Segment II/III (1)350145504None

Aikawa et al., 2012 [31]NALR (8)HCC (5)
HM (1)
Metastasis (1)
NET (1)
Segment II (1)
Segment III (2)
Segment IV (2)
Segment V (1)
Segment VIII (2)
15 (9–30)0148 (141–235)2 (0–10)6 (3–11)None

NALR: nonanatomical liver resection, LLR: left lateral resection, LH: left hepatectomy, RH: right hepatectomy, SLR: segmental liver resection, CRCLM: colorectal cancer liver metastasis, HCC: hepatocellular carcinoma, FNH: focal nodular hyperplasia, HM: haemangioma, CCA: cholangiocarcinoma.