Read full paper at: http://www.scirp.org/journal/PaperInformation.aspx?PaperID=53201#.VLck_snQrzE Author(s) Josep Martí , Oscar Vidal * , Mauro Valentini , Cesar Ginestà , Juan José Espert , Miss Yolanda Rodriguez , Guerson Benarroch , Juan Carlos García-Valdecasas Affiliation(s) General Surgery and Emergency Unit, Department of General and Digestive Surgery, Digestive Diseases and Metabolism Institute, Hospital Clínici Provincial, Universitat de Barcelona, IDIBAPS, Barcelona, Spain . ABSTRACT Background: Single incision laparoscopic surgery (SILS) has still not replaced conventional laparoscopic surgery in many centers because of its special instruments requirements and training needs. In our Institution we introduced SILS procedures in a procedural stepwise manner, with progression to more difficult procedures only allowed if complete proficiency in low-complexity ones is achieved. Methods: We studied the evolution of performed ...
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