Safety and Short-term Outcomes of a Single-Port Laparoscopic Approach to Colorectal Surgery

Danforth, Rachel; Monn, M. Francesca; Spera, Leigh J; Fajardo, Alyssa D.; George, Virgilio

doi:10.1001/jamasurg.2015.2409

Cited by 2 publications

(2 citation statements)

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“…A number of studies have assessed the safety and feasibility of SILS for colon cancer, 5,13,20 and several studies have been published on the survival data of SILS [6][7][8] in recent years. However, SILS has not been used widely for colorectal cancer.…”

Section: Discussionmentioning

confidence: 99%

Multidimensional analyses of the learning curve for single‐incision plus one port laparoscopic surgery for sigmoid colon and upper rectal cancer

Wang

Liu

et al. 2018

Journal of Surgical Oncology

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Section: Discussionmentioning

confidence: 99%

Multidimensional analyses of the learning curve for single‐incision plus one port laparoscopic surgery for sigmoid colon and upper rectal cancer

Wang

Liu

et al. 2018

Journal of Surgical Oncology

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“…The tendency of these procedures to minimize postoperative complications and maximize cosmesis has led to widespread adoption of laparoscopic techniques in surgical procedures. Researchers have recently progressed from conventional laparoscopic modalities, with the aim of reducing the number of laparoscopic ports [2][3][4]. Use of a single-port laparoscopic technique has been suggested in stoma formation surgery as a method for decreasing patient burden during and after surgery.…”

Section: Introductionmentioning

confidence: 99%

Safety and Efficacy of Single-Port Laparoscopic Ileostomy in Palliative Settings

Kang

Cho²,

et al. 2020

Ann Coloproctol

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Original ArticleAnn Coloproctol 2020;36(1):17-21 https://doi.org/10. 3393/ac.2019.04.25 Purpose: Single-port laparoscopic techniques can be optimized with confined incisions. This approach has an intraoperative advantage of excellent visualization of the correct intestinal segment for exteriorization, along with direct visual control of the extraction to avoid twisting. However, only a few studies have verified the efficacy of the technique. Thus, this study assessed the results of single-port laparoscopic stoma creation for fecal diversion, specifically focusing on feasibility, safety, and efficacy. Methods: Patients who underwent single-incision enterostomy performed by a single surgeon were included. Data on demographics, indications for and chosen procedure, and operation results were retrospectively collected and analyzed. Results: Between April 2015 and January 2018, a total of 13 patients (8 males, 5 females) with a mean age of 57.7 years (range, 41-83 years) underwent single-port ileostomy creation. The most common reason for diversion was palliative ileostomy for colon obstruction or fistula from peritoneal malignancy (n = 12), followed by colonic fistula with necrotizing pancreatitis (n = 1). There were no cases of conversion to open or multiport laparoscopic surgery. The mean operative time was 54 minutes (range, 37-118 minutes), and the median length of hospital stay was 8 days (range, 2-211 days). A postoperative complication, aspiration pneumonia, was documented in 1 patient and treated conservatively. The mean duration of bowel movement was 0.7 days (range, 0-4 days). All stomas had good function, and there was no 30-day mortality. Conclusion: Single-port laparoscopic ileostomy in patients with a palliative setting could be a safe and feasible option for fecal diversion.

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Safety and Short-term Outcomes of a Single-Port Laparoscopic Approach to Colorectal Surgery

Cited by 2 publications

References 5 publications

Multidimensional analyses of the learning curve for single‐incision plus one port laparoscopic surgery for sigmoid colon and upper rectal cancer

Multidimensional analyses of the learning curve for single‐incision plus one port laparoscopic surgery for sigmoid colon and upper rectal cancer

Safety and Efficacy of Single-Port Laparoscopic Ileostomy in Palliative Settings

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