pennstatehershey.org David Stewart, MD, a board-certified colorectal surgeon at Penn State Hershey Cancer Institute, Penn State Milton S. Hershey Medical Center, talks about a recent advance in surgery called single-site laparoscopy, a technique used to treat colorectal disease, including the removal of colon and rectal cancers through a single skin incision. ——— So, just as in other forms of colon and rectal surgery there’s been a gradual and progressive development of techniques that are less invasive, techniques that allow us to accomplish the same set of goals that we had when were performing surgery through large incisions, but to achieve those same goals through small incisions. And over the last 10 to 15 years, what we’ve seen is a progression through incisions that are getting smaller and smaller and fewer and fewer. And more recently this has culminated in the development of single site laparoscopy or SSL for short. And what this involves is making a single incision anywhere on the abdominal wall, and very often the site that’s chosen is the belly button. The belly button is a nice location for a single incision laparoscopic approach, because it’s the thinnest portion of the abdominal wall and the belly button for most patients is concave and so it hides a scar very well. We place our camera and two other working instruments through that incision and we can perform the same operation and achieve the same goals that we were achieving through multiple small …
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