Table 1 The advantages and disadvantages of performing paraduodenal hernia by single-incision laparoscopic surgery (SILS)
From: Left paraduodenal hernia treated by single-incision laparoscopic surgery: a case report
SILS | Multiport laparoscopic surgery | |
|---|---|---|
Advantages | ・Cosmetic benefits ・Possibility of less post-operative pain | ・Flexibility of movement ・Some cases are previously reported |
Disadvantages | ・Technical difficulties ・Less counter-traction ・Interference of instruments ・Incision length can be longer | ・Multiple port scars ・Incision enlargement is necessary if guiding the lesion site to the outside of the body is needed |
Precautions | ・Conversion to multiport laparoscopic or open surgery if safety is not guaranteed ・High-risk cases of Trocar-site hernias (e.g. obesity, umbilical hernias, diabetes mellitus or smoking, etc.) | ・Conversion to open surgery if safety is not guaranteed |