Feasibility and Safety of Single-Incision Laparoscopic Colectomy

Makino, Tomoki; Milsom, Jeffrey W.; Lee, Sang W.

doi:10.1097/sla.0b013e31823fbae7

Cited by 136 publications

(85 citation statements)

References 44 publications

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“…Relatively low rates of overall morbidity and mortality were reported in the included studies, with the morbidity being 15 % and the mortality 0.75 %, a finding also supported by the meta-analysis from Makino et al [71] regarding SILC. Regarding reoperation rate, a total of nine patients were reoperated.…”

Section: Discussionsupporting

confidence: 69%

Single-Incision Laparoscopic Right Hemi-Colectomy: a Systematic Review

Αποστόλου

Orfanos²,

Papalois

et al. 2015

Indian J Surg

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As surgeons became more adept with laparoscopic colon surgery, other less invasive procedures, such as singleincision laparoscopic right hemi-colectomy (SIL-RH), have been applied. The objective of this study was to evaluate the safety of SIL-RH as well as its intraoperative and postoperative outcomes for right-sided colon diseases. A detailed search in PubMed for citations that included SIL-RH from 2000 to 2014 revealed 21 studies fulfilling the criteria of the present review. A total of 684 patients were analyzed. Of the patients, 50.2 % were men. Mean patient age was 64.8 years. Of the patients, 36.1 % had already undergone an abdominal operation before the performance of SIL-RH, while 69 % of the patients underwent SIL-RH for colon cancer. Relatively low rates of overall morbidity (15 %) and mortality (0.75 %) were reported in the included studies. Mean length of postoperative hospital stay (LOS) was 5.5 days. Bowel motility return had a mean value of 2.8 days. Mean number of harvested lymph nodes (LN) was 19.2 LN. All resection margins were tumorfree. SIL-RH was a safe alternative to multiport laparoscopic right hemi-colectomy (ML-RH) in terms of morbidity and mortality, postoperative gastrointestinal function recovery, LOS, as well as oncological radicalness.

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Section: Discussionsupporting

confidence: 69%

Single-Incision Laparoscopic Right Hemi-Colectomy: a Systematic Review

Αποστόλου

Orfanos²,

Papalois

et al. 2015

Indian J Surg

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“…In a systematic review of 23 studies with 378 patients undergoing SILC that was published in 2012, it was found that SILC carried relatively low rates of overall mortality (0.5%) and morbidity (12.9%) with operative time and estimated blood loss comparable with published data on MLC. 13 In addition, the rate of conversion to an open procedure (1.6%) in these series of SILC was significantly lower when compared with the rate of 10%-21% with MLC. These results, however, did not necessarily translate into a shorter length of stay in SILC cases compared with MLC cases.…”

Section: Single-port Partial Colectomymentioning

confidence: 99%

Single-Port Total Abdominal Colectomy for Colon Cancer

Hosn

Jamali

Alami

2014

CRSLS

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Introduction: Single-incision laparoscopic surgery has gained popularity in recent years with an increasing number of complicated procedures being performed using this approach. Single-port total colectomy has been reported in the literature mainly in the setting of inflammatory bowel disease and polyposis. We report on a young patient who underwent single-port abdominal colectomy for transverse colon cancer along with multiple colonic polyps.

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“…Although the use of this new approach for complex colorectal procedures might understandingly be viewed as difficult to implement, over the past few years there has been significant interest in SILS for colonic resections in both benign and malignant conditions. In fact, between 2008 and 2012, a nearly 7-fold increase occurred in the number of articles related to single-port colorectal surgery [18][19][20]. Unfortunately, the currently available literature relating to the technique includes mostly case reports or small case series describing the feasibility, safety and technical difficulties of different operations .…”

Section: Feasibility and Safety Of Single-incision Colectomymentioning

confidence: 99%