Single-port colectomy: first experience in Belgium: P080


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Abstract

Aim:Single port laparoscopic surgery minimizes access trauma to the abdomen and the specimen can be removed via the same incision. The results of a pilot study arepresented.Method:All consecutive patients undergoing a single-port laparoscopic segmental colectomy were included. A longitudinal transumbilical incision of 4 cm was made. All perioperative data, postoperative morbidity and short-term outcome were collectedprospectively.Results:Nine patients were treated by single port access. Median age was 43 years (IQR: 30-63), median BMI was 22 kg/m2 (IQR: 20-24) and 78% of the patients were female. Six patients (67%) underwent a right hemicolectomy for Crohn's disease (four patients, 67%) and malignant adenoma (two patients, 33%). Three patients underwent a rectosigmoid resection for Crohn's disease (1), adenoma (1) and diverticulitis (1). Median operating time was 85 min (IQR: 70-105). For specimen extraction, the median increase in incision length was significantly higher in the right hemicolectomygroup compared to the rectosigmoid resection-group, 2.5 cm vs 0 cm, respectively (P = 0.0238). There were no anastomotic leaks and the median hospital stay was 6 days (IQR: 5-7). No wound infection was observed at a median follow-up of 1.2 months.Conclusion:Single-port laparoscopic colectomy is feasible in a selected group of patients.

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