Single-incision laparoscopic colectomy: outcomes of an emerging minimally invasive technique

Ramos-Valadez, Diego I.; Patel, Chirag B.; Ragupathi, Madhu; Bokhari, Malak B.; Pickron, T. Bartley; Haas, Eric M.

doi:10.1007/s00384-011-1185-9

Cited by 33 publications

(27 citation statements)

References 36 publications

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“…The conversion rate of 10% is in line with other SILS series, which trend in the 4% to 9% range 12,13 ; less than that in some laparoscopic inflammatory bowel series 14 ; and not different from the conversion rate in the multiport cohort. No cases were converted to multiport laparoscopy, which may suggest that if a case can be accomplished with multiport laparoscopy, it can be accomplished with single-incision laparoscopy.…”

Section: Discussionsupporting

confidence: 83%

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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Section: Discussionsupporting

confidence: 83%

Single-Site Laparoscopic Surgery for Inflammatory Bowel Disease

Olson¹,

Bedros

Hakiman

et al. 2014

JSLS

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“…Single-incision technique was considered for all patients during the study period unless they (1) had an American Society of Anesthesiologist (ASA) score of 4 or 5, (2) required emergency surgery for a pressing medical condition, or (3) presented with middle or lower rectal disease, large bulky malignant disease, or complicated benign disease (fistula, obstruction) [18]. Of the 77 cases, 53 did not involve resection of the sigmoid; these included colostomy creation (n = 1) and takedown (n = 1), transverse colectomy (n = 1), left colectomy (n = 1), total colectomy (n = 8), and right hemicolectomy (n = 41).…”

Section: Methodsmentioning

confidence: 99%

Single-incision versus conventional laparoscopic sigmoid colectomy: a case-matched series

Ramos-Valadez¹,

Ragupathi²,

Nieto³

et al. 2011

Surg Endosc

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“…Case series and nonrandomized comparisons between SPA technique and CLS for colon cancer have demonstrated the safety and feasibility of the procedure with similar outcomes as in CLS (17)(18)(19)(20)(21)(22). Only a few reports on SPA in rectal surgery have been published to date (10-12, 23, 24).…”

Section: Statistical Analysesmentioning

confidence: 99%

Technique and short-term outcomes of single-port surgery for rectal cancer: A feasibility study of 25 patients

2013

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Background and Aims: although conventional laparoscopic surgery is less traumatic than open surgery, it does cause tissue trauma and multiple scar formation. The size and number of ports determine the extent of the trauma. single-port laparoscopic surgery is assumed to minimize and perhaps eliminate the potential adverse effects of conventional laparoscopy. The aim of this study was to examine short-term outcomes of single-port laparoscopic surgery for rectal cancer.Material and Methods: prospectively collected data from 25 consecutive patients who underwent single-port laparoscopic surgery for rectal cancer between January 2010 and march 2012. perioperative data, oncological resections, and short-term outcomes were assessed.Results: male:female ratio was 10:15. of the 25 patients, 44% had previously undergone abdominal surgery. median body mass index was 24 kg/m 2 (range: 19-32 kg/m 2 ). in all, four patients (16%) had neoadjuvant therapy. median operating time was 260 min (range: 136-397 min). an additional port was needed in two patients, and one case was converted to hand-assisted approach. median postoperative stay was 7 days (range: 4-39 days), and three patients (12%) were readmitted. median lymph node harvest was 13 (range: 3-33). The surgical margins were clear in all patients. complications were seen in six patients.Conclusion: single-port laparoscopic surgery for rectal cancer can be performed in selected patients with rectal cancer without compromising oncological safety and with acceptable morbidity and mortality rates.

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Single-incision laparoscopic colectomy: outcomes of an emerging minimally invasive technique

Cited by 33 publications

References 36 publications

Single-Site Laparoscopic Surgery for Inflammatory Bowel Disease

Single-Site Laparoscopic Surgery for Inflammatory Bowel Disease

Single-incision versus conventional laparoscopic sigmoid colectomy: a case-matched series

Technique and short-term outcomes of single-port surgery for rectal cancer: A feasibility study of 25 patients

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