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World J Gastrointest Surg. Jun 27, 2010; 2(6): 207-209
Published online Jun 27, 2010. doi: 10.4240/wjgs.v2.i6.207
Single access laparoscopic surgery: Complementary or alternative to NOTES?
Giovanni Dapri
Giovanni Dapri, Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, 1000 Brussels, Belgium
Author contributions: Dapri G solely contributed to this paper.
Correspondence to: Giovanni Dapri, MD, Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, 322, Rue Haute, 1000 Brussels, Belgium. giovanni@dapri.net
Telephone: +32-2-5354115 Fax: +32-2-5353166
Received: December 26, 2009
Revised: February 3, 2010
Accepted: February 10, 2010
Published online: June 27, 2010
Abstract

In recent years, single access laparoscopic surgery (SALS) and natural orifice translumenal endoscopic surgery (NOTES) have gained interest from both clinical and industrial point of view, with the increased development of different laparoscopic instruments, production of various access ports, and improvement of operative endoscopes. The main advantages stimulating these two approaches are the cosmetic result, the rapid recovery of the patient, and the reduced need for pain killers. SALS and NOTES are in part complementary and in part alternative techniques. Currently, SALS is much simpler and technically easier than NOTES.

Keywords: Single port, Single incision, Single access, Laparoscopy, Transumbilical, Natural orifice translumenal endoscopic surgery