Therapeutics Advances
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Apr 21, 2015; 21(15): 4440-4446
Published online Apr 21, 2015. doi: 10.3748/wjg.v21.i15.4440
Technical and instrumental prerequisites for single-port laparoscopic solo surgery: State of art
Say-June Kim, Sang Chul Lee
Say-June Kim, Sang Chul Lee, Department of Surgery, Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Seoul 110-758, South Korea
Author contributions: Lee SC designed the study, and finally approved the version to be published; and Kim SJ acquired and analyzed data, and drafted the paper.
Conflict-of-interest: Kim SJ and Lee SC have no conflicts of interest or financial ties to disclose.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Sang Chul Lee, MD, Department of Surgery, Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Deaheung-dong 520-2, Joong-gu, Daejeon, Seoul 110-758, South Korea. zambo9@catholic.ac.kr
Telephone: +82-42-2209269 Fax: +82-42-2209565
Received: December 12, 2014
Peer-review started: December 16, 2014
First decision: January 8, 2015
Revised: January 26, 2015
Accepted: February 11, 2015
Article in press: February 11, 2015
Published online: April 21, 2015
Core Tip

Core tip: Solo surgery occurs when one surgeon operates with only a scrub nurse. The use of a mechanical camera holder makes such surgery possible. Solo surgery is particularly useful when it is applied to single-port laparoscopic surgery (SPLS); it is then termed single-port solo surgery (SPSS). SPSS facilitates a better operative environment than does SPLS by allowing fixed and stable images under the operator’s direct control. SPSS indications include SPLS indications, after the technique has been mastered. Moreover, total skin-to-skin SPSS could be easily realized by the extraperitoneal application of a retractor system that facilitates incision making and peritoneal opening.