🩺 What Is Single Port Laparoscopic Surgery?
Single port laparoscopic surgery is also a minimally invasive procedure done by one small incision, usually at the belly button. Unlike the conventional laparoscopic surgery that is done using multiple incisions, this procedure employs an advanced port for entry into the abdominal cavity with all the instruments going through a single-entry point.
Surgeons carry out multiple procedures such as gallbladder removal, appendectomy, and gynecologic surgeries via this technique. It causes less pain, smaller scars, and quicker recovery for the patient.
This procedure is one of the developments in minimally invasive surgery and is particularly favored in high-level centers. It has cosmetic advantages and minimizes post-operative complications, making it a preferred method for suitable patients.
🔬 How Single Port Laparoscopic Surgery Works
The surgeon first uses a single incision near the belly button that is approximately 1.5-2 cm. Once the incision is made, a specialized port system is inserted that allows access to the site with a camera and surgical instruments while maneuvering in parallel with each other, often articulated, to reach the target organ.
The surgeon inflates the abdomen with carbon dioxide gas, allowing for a clear view of the surgical field, as well as room to work in the abdomen. The high-definition camera transmits a live video image to a monitor, allowing the surgeon to make precise movements while minimizing disturbance to the tissue.
Once completed, the instruments are pulled back out, the port is removed, and the incision is closed with absorbable sutures. Patients typically report less discomfort and hospital stays than their counterparts that have multi-port laparoscopic surgery.
✅ Singular Port Benefits vs Traditional Laparoscopy
- Cosmetic Benefit: Only 1 scar, usually concealed in the belly button.
- Less Pain: Fewer incisions means less post-operative pain.
- Quicker Recovery: Patients go back to normal activities sooner.
- Less Chance of Infection: With fewer entry points means a reduced risk of infection.
- Shorter Time in the Hospital: Many are done as outpatient procedures.
These benefits make the technique ideal for elective procedures when cosmetic appearance and recovery time are a consideration, such as gynecological and gastrointestinal surgeries.
🔄 Typical Procedures Using Single Port
- Cholecystectomy (gallbladder surgery)
- Appendectomy
- Hysterectomy
- Ovarian cystectomy
- Myomectomy (fibroid removal)
The success of the procedure will depend on the surgeon’s expertise and the anatomy of the patient. Success will occasionally require one or two additional ports be placed for safety.
Single port access is appropriate for uncomplicated surgeries. If the case is complicated, the surgeon may prefer to use standard laparoscopy or robotic assistance.
👩⚕️ Who are the ideal candidates for single port laparoscopy?
- Patients with a normal BMI
- Individuals requiring elective, uncomplicated surgery
- Patients without prior major abdominal surgery
- Non-smokers with no chronic respiratory or cardiac problems
Single port laparoscopy is likely not appropriate for patients with dense adhesions, malignancy, or emergency surgery. A consultation and diagnostic images will help assess appropriateness.
🏥 Recovery and aftercare
Patients can expect a faster recovery than standard multi-port laparoscopy. Most patients will be discharged the same day or within 24 hours of their procedure.
Key instructions:
- Rest for 48 hours
- Avoid heavy lifting for 2 weeks
- Return to normal activities within 7–10 days
- Follow wound care instructions to avoid infection
- Monitor for unusual symptoms, like fever or discharge from the incision
Usually, patients are followed-up within a week to assess healing. Pain is typically minimal and dose managed with oral analgesics.
⚠️ Possible Complications to Be Aware Of
- Infection at port site
- Hernia at incision site
- Bleeding or hematoma
- Organ or vessel injury (rare)
- Gas-related discomfort in the shoulders
Although these risks are small, patients should notify their physician about any persistent pain, swelling, fever, or unusual discharge. Proper technique, adherence to sterile procedures and conditions will minimize the risk.
📋 Preparing For Single Port Surgery
- Have preoperative blood tests and imaging done
- Discontinue blood thinners or anti-inflammatories if instructed
- Fast for 6–8 hours prior to the surgery
- Arrange for transport and post-operative care
Patients should inform their full medical history including any other surgeries, and allergies. Smoking cessation and good fitness will maximize safety and enhance recovery.
🧑⚕️ Picking a Competent Surgeon
When selecting a surgeon look for:
- Specific experience with single port laparoscopic surgery
- Board certification in laparoscopic surgery or minimally invasive surgery
- A history of positive patient outcomes and reviews
- An ambulatory or outpatient surgery center with up-to-date surgical facilities
Ask about the number of procedures performed, any complication (if applicable), and ask about alternatives. A second opinion can either provide confidence in their advice, or provide a best-matched approach for you.
📝 Summary
Single port laparoscopic surgery is a fast, effective and low-scar alternative to standard laparoscopy, with faster recovery time, less pain and better cosmetic results.
Not everyone will be candidates for single-port laparoscopy. Discuss all your surgical options with a specialist surgeon, and weigh the pros and cons according to your health and surgical situation.
