Single-Incision Versus Standard Multiport Laparoscopic Colectomy
- 1 January 2012
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Annals of Surgery
- Vol. 255 (1), 66-69
- https://doi.org/10.1097/sla.0b013e3182378442
Abstract
The aim of this study was to compare single-incision laparoscopic colectomy (SILC) to multiport laparoscopic colectomy (MLC) when performed by experienced laparoscopic surgeons. Recent case reports and single institution series have demonstrated the feasibility of SILC. Few comparative studies for MLC and SILC have been reported. Patients from 5 institutions undergoing SILC were entered into an IRB approved database from November 2008 to March 2010. SILC patients were matched with those undergoing MLC for gender, age, disease, surgery, BMI, and surgeon. The primary endpoint was length of stay and secondary endpoints included operative time, conversion, complications and postoperative pain scores. Three hundred thirty patients (SILC = 165, MLC = 165) were evaluated. Operative time (135 ± 45 min vs. 133 ± 56 min; P = 0.85) and length of stay (4.6 ± 1.6 vs. 4.3 ± 1.4; P = 0.35) were not significantly different. Maximum postoperative day one pain scores were significantly less for SILC (4.9 vs. 5.6; P = 0.005). Eighteen (11%) patients undergoing SILC were converted to multiport laparoscopy. There was no statistical difference between groups for conversions to laparotomy, complications, re-operations, or re-admissions. SILC is feasible when performed on select patients by surgeons with extensive laparoscopic experience. Outcomes were similar to MLC, except for a reduction in peak pain score on the first postoperative day. Prospective randomized trials should be performed before incorporation of this technology into routine surgical care.Keywords
This publication has 16 references indexed in Scilit:
- Single incision laparoscopic sigmoid colon resections without visible scar: a novel techniqueColorectal Disease, 2009
- Laparoscopic Versus Open Surgery for Rectal CancerAnnals of Surgery, 2009
- Single‐port laparoscopy in colorectal surgeryColorectal Disease, 2008
- Single port access laparoscopic right hemicolectomyInternational Journal of Colorectal Disease, 2008
- Clinical Outcomes and Resource Utilization Associated With Laparoscopic and Open Colectomy Using a Large National DatabaseAnnals of Surgery, 2008
- Laparoscopically Assisted vs Open Colectomy for Colon CancerArchives of Surgery, 2007
- Evaluation of the Learning Curve in Laparoscopic Colorectal SurgeryAnnals of Surgery, 2005
- Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trialThe Lancet, 2005
- A Comparison of Laparoscopically Assisted and Open Colectomy for Colon CancerNew England Journal of Medicine, 2004
- Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trialThe Lancet, 2002