Review Article

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

Table 2

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

Procedure (number)Indication (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)

Barbaros et al., 2010 [2]DP+S (1)RCC metastases (2)23 (15–30)03301007POPF grade A (1)

Chang et al., 2012 [32]DP (1)SCN (1)350233<1003None

Haugvik et al., 2013 [33]DP (5)
DP+S (3)
5 NET (5)
SCN (1)
IPMN (1)
Fibrosis (1)
21 (10–45)0145 (98–223)225 (30–400)6 (3–15)Port site infection (1)
Port site bleeding (1)
POPF grade B (2)

Machado et al., 2015 [34]DP (18)
DP+S (2)
NET (11)
IPMN (6)
MCN (3)
31 (9–70)0176 (110–340)<50 (<50–250)2 (1–5)POPF grade A (4)

Misawa et al., 2012 [35]DP (1)Cystadenoma (1)50 (35–65)024007None
DP+S (1)MCN (1)02251005None

Ryan et al., 2015 [36]DP+S (16)PDA (3)
NET (2)
IPMN (2)
SCN (2)
MCN (1)
Splenunculi (1)
Splenic HM (1)
(8–117)19190 ()150 ()4 ()AF (1)
Pneumonia (1)
Colonic abscess (1)

Srikanth et al., 2013 [37]DP+S (1)NET (1)3505Collection (1)

Yao et al., 2014 [38]DP+S (7)
DP (7)
MCN (6)
SCN (3)
Pancreatic cysts (3)
Splenic artery aneurysm (2)
(12–110)7 (5–10)POPF grade A/B (1)

Zhang et al., 2015 [39]Local excision (2)
DP (1)
Pancreatoblastoma (1)
Nesidioblastosis (2)
0153 (120–200)Minimal6-7None

DP: distal pancreatectomy, DP+S: distal pancreatectomy and splenectomy, NET: neuroendocrine tumour, IPMN: intraductal papillary mucinous neoplasm, SCN: serous cystic neoplasm, MCN, mucinous cystic neoplasm, PDA: pancreatic ductal adenocarcinoma, HM: haemangioma, AF: atrial fibrillation, POPF: postoperative pancreatic fistula.