Open Access
American Research Journal of Medicine and Surgery
ISSN (Online): 2379-8955
DOI: 10.46568/arjms
A Comparison between Single Port and the Traditional Multiport Technique for Colon Resections
Abstract
Purpose: single incision laparoscopic technique is an emerging modality. The purpose of our study was to compare the intraoperative and short-term postoperative outcomes of single incision laparoscopic colectomy (SILC) versus multi-incision laparoscopic colectomy (MILC) and to explore whether, for any of the different types of colectomies, SILC is the recommended approach.
Methods: We retrospectively reviewed the charts of all patients who underwent laparoscopic colectomies between October 2010 and December 2012. The cohort was divided into two groups, SILC and MILC, which were compared in terms of their intra-operative and early postoperative outcomes. Each group was then sub-divided according to the type of procedure, each of which was compared separately between SILC and MILC. The intra-operative parameters were total operative time, surgical margin involvement and the number of lymph nodes extracted. The postoperative parameters included length of hospital stay, 30-day readmission, maximum pain score, morbidity, and mortality.
Results: Seventy-five patients underwent laparoscopic colectomies (SILC-21/ MILC-54). Between the two groups, patient characteristics were not statistically different. A comparison of the groups’ intraoperative and postoperative results showed no statistically significant differences. There were no deaths in either group. Analyses of each procedure separately showed that when performing RH there was a trend (p = 0.08) of better oncological results with a higher mean number of lymph nodes extracted (23.5 ± 3.16 vs. 17.19 ± 6.93). In addition, LOS decreased (5.91 ± 3.59 vs. 6.48 ± 1.76, respectively), which was statistically significant (p = 0.05).
Conclusions: Single incision approach for bowel resections is feasible and safe. Given our findings, we believe that SILC technique is an effective alternative to MILC when performing RH with the statistically significant benefits of lower LOS and better oncological results. However, the efficiency of the technique in LH or AR is still questionable and needs further evaluation.
Methods: We retrospectively reviewed the charts of all patients who underwent laparoscopic colectomies between October 2010 and December 2012. The cohort was divided into two groups, SILC and MILC, which were compared in terms of their intra-operative and early postoperative outcomes. Each group was then sub-divided according to the type of procedure, each of which was compared separately between SILC and MILC. The intra-operative parameters were total operative time, surgical margin involvement and the number of lymph nodes extracted. The postoperative parameters included length of hospital stay, 30-day readmission, maximum pain score, morbidity, and mortality.
Results: Seventy-five patients underwent laparoscopic colectomies (SILC-21/ MILC-54). Between the two groups, patient characteristics were not statistically different. A comparison of the groups’ intraoperative and postoperative results showed no statistically significant differences. There were no deaths in either group. Analyses of each procedure separately showed that when performing RH there was a trend (p = 0.08) of better oncological results with a higher mean number of lymph nodes extracted (23.5 ± 3.16 vs. 17.19 ± 6.93). In addition, LOS decreased (5.91 ± 3.59 vs. 6.48 ± 1.76, respectively), which was statistically significant (p = 0.05).
Conclusions: Single incision approach for bowel resections is feasible and safe. Given our findings, we believe that SILC technique is an effective alternative to MILC when performing RH with the statistically significant benefits of lower LOS and better oncological results. However, the efficiency of the technique in LH or AR is still questionable and needs further evaluation.
