For Right Hemicolectomy (Removal of the Right Colon)
SILS for colorectal surgery started in about 2008. It has also been used in cholecystectomy, appendicectomy and more recently hysterectomy.
SILS uses the umbilicus as the single point of entry for all the laparoscopic instruments via a special device. The device that Dr Chew uses is the Gelport made by Applied Medical.
Dr Chew’s experience is mainly in SILS for right hemicolectomy. This technique allows the entire operation to be performed via one single cut and the removal of the right colon via the same cut.
The benefits are better cosmesis (as the wound hides in the umbilicus) and less number of wounds. Less cuts lead to less pain and less risks of wound complications.
Caption: SILS scar
Caption: SILS scar magnified