RT Journal
A1 Melvin W
T1 SIngle-access laparoscopic sigmoidectomy as definitive surgical management of prior diverticulitis in a human patient—invited critique
JF Archives of Surgery
JO Archives of Surgery
YR 2009
FD February 1
VO 144
IS 2
SP 179
OP 179
DO 10.1001/archsurg.2008.561
UL http://dx.doi.org/10.1001/archsurg.2008.561
AB 
The concept of single-port surgery has been widely publicized, advocated, and touted as a major improvement in laparoscopic surgical technique. This unbridled enthusiasm has continued on an emotional and subjective basis, and persists despite the lack of any objective evidence of benefit. While it is clear that we should use technical and technological advances to improve patient outcomes, the alleged benefits of cosmesis, improved wound healing and reduced inflammatory response, remain largely unproven and untested. The increased perioperative risks of prolonged operative times, decreased visualization, and difficulty with tissue manipulation have not been considered. Standard laparoscopic techniques, especially using 5-mm port sites, already have low hernia rates, low wound infection rates, and good cosmesis.