[Minimally-invasive surgery: even less invasive? Oncological surgery: multidisciplinary first]

Area of Science:

• Minimally Invasive Surgery
• Surgical Oncology
• Laparoscopic Techniques

Context:

• Transumbilical single-port laparoscopic surgery (NOTES) was introduced in 2009.
• Advancements in surgical techniques are continually redefining standards of care.
• Multidisciplinary approaches are crucial for extending the limits of oncological surgery.

Purpose:

• To review selected publications on single-trocar laparoscopic surgery relevant to daily practice.
• To discuss the expanding role of minimally invasive techniques in various surgical fields.
• To provide insights into the management of specific conditions using single-trocar approaches.

Summary:

• Single-trocar laparoscopic surgery is becoming a new standard for selected indications, despite the earlier introduction of NOTES.
• The review focuses on key papers demonstrating the extension of oncological surgery limits via systematic multidisciplinary approaches.
• Examples include the management of acute calculous cholecystitis, gastro-esophageal reflux, inguinal and incisional hernias, and colorectal surgery.

Impact:

• Single-trocar surgery offers potential benefits in specific patient populations.
• This approach may lead to improved patient outcomes and reduced morbidity.
• The review provides practical guidance for surgeons adopting single-trocar techniques in their practice.