Pros and cons

Recently, single-port laparoscopic surgery (SPLS) has seen renewed interest and has developed as an extension of the standard laparoscopic minimally invasive procedures. SPLS has the potential to provide patients with improved cosmesis, decreased pain, and higher satisfaction for with having only a single-wound. SPLS obviates the need to place ports externally for triangulation, thus allowing for the creation of a small, solitary portal of entry into the abdomen. However, many laparoscopic surgeons have already tried, and found, the technique challenging. Additionally, questions remain regarding the safety of the procedure, real benefits, and the ideal patient population for these new techniques. Recently, reports of a reduced port laparoscopic surgery (RPLS), a hybrid operation of SPLS and conventional laparoscopic surgery, are increasing because of the better-feasibility and safety than SPLS. We believe that standardization of RPLS will increase its adoption, decrease intraoperative complications, and improve the efficiency and safety of this approach. Further studies are necessary to identify clearly the risks and real benefits of this new approach.