Minimally Invasive Surgery

**139**

**Chapter 7**

**Abstract**

**1. Introduction**

Single-Incision Pediatric

*Enaam Raboei, Ameen Alsaggaf, Yazeed Owiwi,* 

*Syed Salahuddin, Alaa Ghallab and Mazen Zidan*

Most centers advocate laparoscopy in order to minimize the size and the number of skin incisions. Many comparative studies, systematic review, and pooled analysis demonstrate that single-incision laparoscopic surgery (SILS) is comparable to conventional laparoscopic surgery (CLS). However, this review identifies the need for randomized controlled trials to clarify the efficacy of SIPS compared with CLS. SIPES pediatric has gained significant popularity. Longer M OT with SIPES was the main concern in most published series. One study has shown that SIPES in children is safe and feasible when performed by resident doctors in comparison to the fellow. We started SIPES in 2003. It is carried out routinely by trainees and specialists. Interferences and collisions between surgical instruments are worse in SIPES than CLS. These challenges extended the OT. Although the use of flexible laparoscopic instruments instead of straight instruments may overcome these technical difficulties, only straight laparoscopic instruments are currently used in our institution. Our aim is to standardize this approach in pediatric age group. The technique can be imparted satisfactorily to trainees. However, its successful incorporation into surgical training programs will depend on the development of innovative simulation strategies.

There are many nomenclatures and abbreviations found in literatures: SILS, single-incision laparoscopic surgery; LESS, laparo-endoscopic single-site surgery; TUES, trans-umbilical endoscopic single-site surgery; SPA, single portal access; E-NOTES, embryologic natural orifice transluminal endoscopic surgery; SAS, single access surgery; S3, single-site surgery; NOTUS, natural orifice transumbilical surgery; SAVES, single access video endoscopic surgery; and SIPES, single-incision pediatric endoscopic surgery. Cultural changes affected the way of managing patients. It has been over 30 years since the first laparoscopic cholecystectomy. Von Ott inspected the abdominal cavity of pregnant women in 1901. Georg Kelling performed "koelioscopie." Jacobeus published his first report "Laparothorakoskopie." Lukichev in 1983 and Muhe in 1985 performed laparoscopic cholecystectomy in humans [1]. Kalloo performed trans-gastric peritoneoscopy in 2004 [2]. Multiple centers performed NOTES in humans, trans-gastric appendectomy and transvaginal cholecystectomy. Limitations of NOTES technique lead to make SILS to go in parallel with it [3]. The first published report in general surgery

Endosurgery (SIPES)

**Keywords:** SILS, SIPES, single incision, laparoscopy
