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Journal of Gastrointestinal Surgery

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01-11-2011 | Original Article

Single-Incision Laparoscopic Colorectal Surgery, Experience with 50 Consecutive Cases

Authors: Peter B. van den Boezem, Colin Sietses

Published in: Journal of Gastrointestinal Surgery | Issue 11/2011

Abstract

Background

Single-incision laparoscopic surgery (SILS) is one of the most recent developments in laparoscopic surgery. Having proven its effectiveness in cholecystectomy and appendectomy, the feasibility of SILS in more advanced surgery, such as hemicolectomy and low anterior resection, is now a point of discussion.

Methods

This study reports on the results of the first 50 SILS colorectal operations at our institution. Twenty right hemicolectomies, 16 sigmoid resections, 9 low anterior resections, and 5 total colectomies were performed. Nineteen patients were operated for benign colonic diseases, 31 for malignant disease.

Results

Mean operative time was 130 min, and the median duration of postoperative hospital stay was 6 days. None of the procedures needed conversion to a laparotomy, but four patients were converted to a multiport laparoscopy. In one case, an anastomotic leakage occurred, which was treated by creating a diverting ileostomy laparoscopically. Minor complications were four wound infections and two incisional hernias.

Conclusion

SILS colectomy is a safe and feasible procedure even in more complex cases. Comparative studies are needed to demonstrate advantages over traditional laparoscopic surgery.

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Title: Single-Incision Laparoscopic Colorectal Surgery, Experience with 50 Consecutive Cases
Authors: Peter B. van den Boezem
Colin Sietses
Publication date: 01-11-2011
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 11/2011
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-011-1626-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Single-Incision Laparoscopic Colorectal Surgery, Experience with 50 Consecutive Cases

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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