TY  - JOUR
T1  - SIngle-access laparoscopic sigmoidectomy as definitive surgical management of prior diverticulitis in a human patient—invited critique
AU  - Melvin W
Y1  - 2009/02/01
N1  - 10.1001/archsurg.2008.561
JO  - Archives of Surgery
SP  - 179
EP  - 179
VL  - 144
IS  - 2
N2  - 
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.

SN  - 0004-0010
M3  - doi: 10.1001/archsurg.2008.561
UR  - http://dx.doi.org/10.1001/archsurg.2008.561
ER  -