{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T22:43:05Z","timestamp":1773268985308,"version":"3.50.1"},"reference-count":10,"publisher":"International College of Surgeons","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:p>This report clarifies the rational manipulation of standard laparoscopic instruments for single-incision laparoscopic right colectomy (SILRC) using the SILS Port. We classified the manipulations required into 4 techniques. Vertical manipulation was required for medial-to-lateral retroperitoneal dissection. Frontal manipulation was needed for extension and establishment of a retroperitoneal plane. External crossing manipulation was used for dissection or ligation of the ileocolic or right colic vessels. Internal crossing manipulation was required for mobilization from the cecum to ascending colon. We performed SILRC for a series of 30 consecutive patients. One additional port was needed in 5 of the patients (16.7%) because of severe adhesion between the ileum and abdominal wall. No intraoperative complications were encountered. Four rational manipulations of the standard laparoscopic instruments are required for SILRC using the SILS Port. However, more experience and comparative trials are needed to determine the exact role of SILRC.<\/jats:p>","DOI":"10.9738\/intsurg-d-12-00037.1","type":"journal-article","created":{"date-parts":[[2013,8,23]],"date-time":"2013-08-23T16:23:05Z","timestamp":1377274985000},"page":"205-209","source":"Crossref","is-referenced-by-count":3,"title":["Rational Manipulation of the Standard Laparoscopic Instruments for Single-Incision Laparoscopic Right Colectomy"],"prefix":"10.9738","volume":"98","author":[{"given":"Makoto","family":"Watanabe","sequence":"first","affiliation":[{"name":"Department of Gastroenterological & General Surgery, Showa University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiko","family":"Murakami","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological & General Surgery, Showa University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological & General Surgery, Showa University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toru","family":"Onaka","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological & General Surgery, Showa University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Aoki","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological & General Surgery, Showa University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4721","reference":[{"issue":"4","key":"i0020-8868-98-3-205-b01","series-title":"Surg Laparosc Endosc Percutan Tech","first-page":"191","article-title":"Single-incision laparoscopic surgery (SILS) in general surgery: a review of current practice","volume":"20","author":"Froghi\n              F,","year":"2010","unstructured":"Froghi\n              F, \n            \n              Sodergren\n              MH, \n            \n              Darzi\n              A, \n            \n              Paraskeva\n              P. \n          \n          Single-incision laparoscopic surgery (SILS) in general surgery: a review of current practice. Surg Laparosc Endosc Percutan Tech2010;20(4):191\u2013204"},{"issue":"7","key":"i0020-8868-98-3-205-b02","series-title":"Br J Surg","first-page":"1007","article-title":"Randomized clinical trial of single-incision laparoscopic cholecystectomy versus minilaparoscopic cholecystectomy","volume":"97","author":"Lee\n              PC,","year":"2010","unstructured":"Lee\n              PC, \n            \n              Lo\n              C, \n            \n              Lai\n              PS, \n            \n              Chang\n              JJ, \n            \n              Huang\n              SJ, \n            \n              Lin\n              MT\n            \n            et al\n          . Randomized clinical trial of single-incision laparoscopic cholecystectomy versus minilaparoscopic cholecystectomy. Br J Surg2010;97(7):1007\u20131012"},{"issue":"8","key":"i0020-8868-98-3-205-b03","series-title":"Surg Endosc","first-page":"1842","article-title":"Different pain scores in single transumbilical incision laparoscopic cholecystectomy versus classic laparoscopic cholecystectomy: a randomized controlled trial","volume":"24","author":"Tsimoyiannis\n              EC,","year":"2010","unstructured":"Tsimoyiannis\n              EC, \n            \n              Tsimogiannis\n              KE, \n            \n              Pappas-Gogos\n              G, \n            \n              Farantos\n              C, \n            \n              Benetatos\n              N, \n            \n              Mavridou\n              P\n            \n            et al\n          . Different pain scores in single transumbilical incision laparoscopic cholecystectomy versus classic laparoscopic cholecystectomy: a randomized controlled trial. Surg Endosc2010;24(8):1842\u20131848"},{"issue":"3","key":"i0020-8868-98-3-205-b04","series-title":"Tech Coloproctol","first-page":"225","article-title":"Single-incision laparoscopic surgery for right hemicolectomy: our initial experience with 10 cases","volume":"14","author":"Wong\n              MT,","year":"2010","unstructured":"Wong\n              MT, \n            \n              Ng\n              KH, \n            \n              Ho\n              KS, \n            \n              Eu\n              KW. \n          \n          Single-incision laparoscopic surgery for right hemicolectomy: our initial experience with 10 cases. Tech Coloproctol2010;14(3):225\u2013228"},{"issue":"10","key":"i0020-8868-98-3-205-b05","series-title":"Surg Endosc","first-page":"2613","article-title":"Single-incision laparoscopic right hemicolectomy: safety and feasibility in a series of consecutive cases","volume":"24","author":"Ramos-Valadez\n              DI,","year":"2010","unstructured":"Ramos-Valadez\n              DI, \n            \n              Patel\n              CB, \n            \n              Ragupathi\n              M, \n            \n              Pickron\n              TB, \n            \n              Haas\n              EM. \n          \n          Single-incision laparoscopic right hemicolectomy: safety and feasibility in a series of consecutive cases. Surg Endosc2010;24(10):2613\u20132616"},{"issue":"7","key":"i0020-8868-98-3-205-b06","series-title":"Surg Endosc","first-page":"1419","article-title":"Single-port laparoscopic surgery: an overview","volume":"23","author":"Romanelli\n              JR,","year":"2009","unstructured":"Romanelli\n              JR, \n            \n              Earle\n              DB. \n          \n          Single-port laparoscopic surgery: an overview. Surg Endosc2009;23(7):1419\u20131427"},{"issue":"10","key":"i0020-8868-98-3-205-b07","series-title":"Int J Colorectal Dis","first-page":"1013","article-title":"Single port access laparoscopic right hemicolectomy","volume":"23","author":"Bucher\n              P,","year":"2008","unstructured":"Bucher\n              P, \n            \n              Pugin\n              F, \n            \n              Morel\n              P. \n          \n          Single port access laparoscopic right hemicolectomy. Int J Colorectal Dis2008;23(10):1013\u20131016"},{"issue":"5","key":"i0020-8868-98-3-205-b08","series-title":"J Gastrointest Surg","first-page":"759","article-title":"Single port access (SPA) surgery-a 24-month experience","volume":"14","author":"Podolsky\n              ER,","year":"2010","unstructured":"Podolsky\n              ER, \n            \n              Curcillo\n              PG\n              II. \n          \n          Single port access (SPA) surgery-a 24-month experience. J Gastrointest Surg2010;14(5):759\u2013767"},{"issue":"11","key":"i0020-8868-98-3-205-b09","series-title":"Dis Colon Rectum","first-page":"1467","article-title":"Single-port laparoscopic right hemicolectomy: a safe alternative to conventional laparotomy","volume":"53","author":"Waters\n              JA,","year":"2010","unstructured":"Waters\n              JA, \n            \n              Guzman\n              MJ, \n            \n              Fajardo\n              AD, \n            \n              Selzer\n              DJ, \n            \n              Wiebke\n              EA, \n            \n              Robb\n              BW\n            \n            et al\n          . Single-port laparoscopic right hemicolectomy: a safe alternative to conventional laparotomy. Dis Colon Rectum2010;53(11):1467\u20131472"},{"issue":"2","key":"i0020-8868-98-3-205-b10","series-title":"World J Gastroenterol","first-page":"275","article-title":"Single port laparoscopic right hemicolectomy with D3 dissection for advanced colon cancer","volume":"16","author":"Choi\n              SI,","year":"2010","unstructured":"Choi\n              SI, \n            \n              Lee\n              KY, \n            \n              Park\n              SJ, \n            \n              Lee\n              SH. \n          \n          Single port laparoscopic right hemicolectomy with D3 dissection for advanced colon cancer. 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