Single-incision laparoscopic colectomy for cancer: Assessment of oncologic resection and short-term outcomes in a case-matched comparison with standard laparoscopy

Papaconstantinou, Harry T.; Thomas, John K.

doi:10.1016/j.surg.2011.07.060

Cited by 89 publications

(69 citation statements)

References 25 publications

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“…There is evidence that early outcomes for singleincision colectomy are comparable with those for laparoscopic colectomy, with adherence to the principle of minimizing the number of ports [20]. Finally, intravenous postoperative analgesia was not required for most of our patients, in keeping with our experience using LESS.…”

Section: Discussionsupporting

confidence: 56%

Laparoendoscopic single-site minor hepatectomy for liver tumors

et al. 2012

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Section: Discussionsupporting

confidence: 56%

Laparoendoscopic single-site minor hepatectomy for liver tumors

et al. 2012

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“…In addition, no study has examined the impact of SPS in elderly patients. Most reports of comparisons between SPS and MPS have concluded that SPS was feasible and safe for colorectal disease in selected patients [17][18][19][20][21]. Since only colorectal cancer was included in our study and the other operative factors were similar between the two groups, we were able to identify operative approach as a risk factor for POD.…”

Section: Discussionmentioning

confidence: 88%

“…Most reports have concluded that SPS is feasible and safe for colorectal disease [17][18][19][20][21]. In our department, the first SPS for benign disease was carried out in May 2009.…”

Section: Introductionmentioning

confidence: 97%

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Incidence and risk factors of postoperative delirium in elderly patients who underwent laparoscopic surgery for colorectal cancer

Tei

Wakasugi

Kutsukake

et al. 2015

Int J Colorectal Dis

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“…1–3 Few reports exist regarding the feasibility of this approach in patients with inflammatory bowel disease (IBD), 4–6 and in the few large multicenter studies that exist, a minority of patients in the series had IBD. 7 Prior studies have shown laparoscopic surgery to be beneficial in patients with IBD, but they acknowledge that IBD offers distinct challenges to successful minimally invasive surgery.…”

Section: Introductionmentioning

confidence: 99%

Single-Site Laparoscopic Surgery for Inflammatory Bowel Disease

Olson¹,

Bedros

Hakiman

et al. 2014

JSLS

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Background and Objectives:Single-site laparoscopic colorectal surgery has been firmly established; however, few reports addressing this technique in the inflammatory bowel disease population exist.Methods:We conducted a case-matched retrospective review of 20 patients who underwent single-site laparoscopic procedures for inflammatory bowel disease compared with 20 matched patients undergoing multiport laparoscopic procedures. Data regarding these patients were tabulated in the following categories: demographic characteristics, operative parameters, and perioperative outcomes.Results:A wide range of cases were completed: 9 ileocolic resections, 7 cases of proctocolectomy with end ileostomy or ileal pouch anal anastomosis, 2 cases of proctectomy with ileal pouch anal anastomosis, and 2 total abdominal colectomies with end ileostomy were all matched to equivalent multiport laparoscopic cases. No single-incision cases were converted to multiport laparoscopy, and 2 single-incision cases (10%) were converted to an open approach. For single-incision cases, the mean length of stay was 7.7 days, the mean time to oral intake was 3.3 days, and the mean period of intravenous analgesic use was 5.0 days. There were no statistically significant differences between single-site and multiport cases.Conclusions:Single-site laparoscopic surgery is technically feasible in inflammatory bowel disease. The length of stay and period of intravenous analgesic use (in days) appear to be higher than those in comparable series examining outcomes of single-site laparoscopic colorectal surgery, and the outcomes are comparable with those of multiport laparoscopy. This may be because of the nature of inflammatory bowel disease, limiting the benefits of a single-site approach in this population.

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Single-incision laparoscopic colectomy for cancer: Assessment of oncologic resection and short-term outcomes in a case-matched comparison with standard laparoscopy

Cited by 89 publications

References 25 publications

Laparoendoscopic single-site minor hepatectomy for liver tumors

Laparoendoscopic single-site minor hepatectomy for liver tumors

Incidence and risk factors of postoperative delirium in elderly patients who underwent laparoscopic surgery for colorectal cancer

Single-Site Laparoscopic Surgery for Inflammatory Bowel Disease

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