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Minim Invasive Surg. 2012;2012:783074. doi: 10.1155/2012/783074. Epub 2012 Jul 19.

Single-incision laparoscopic surgeries for colorectal diseases: early experiences of a novel surgical method.

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1
Division of Colon and Rectal Surgery, New York Presbyterian Hospital, Weill Cornell Medical College, 525 East 68th Street, Box 172, New York, NY 10021, USA.

Abstract

OBJECTIVES:

This paper aims to analyze the feasibility and safety of single-incision laparoscopic colectomy (SILC) and its potential benefits.

METHODS:

Systematic review was performed for the years 1983-August 2011 to retrieve all relevant literature. A total of 21 studies with 477 patients undergoing SILC were selected.

RESULTS:

Range of operative times and estimated blood losses were 75-229 min and 0-100 mL, respectively. Overall conversion rate was 5.9% (28/477) and an additional laparoscopic port was used in 4.9% (16/329) cases. Range of lymph node number for malignant cases was 12-24.6 and surgical margins were all negative. Overall mortality and morbidity rate was 0.4% (2/477) and 11.7% (43/368), respectively. The length of hospital stay (LOS) varied across reports (2.7-9.2 days). Among 6 case-matched studies, one showed less blood loss in SILC as compared to LAC and 2 showed shorter LOS after SILC versus HALC or LAC/HALC groups. In addition, one study reported maximum pain score on postoperative days 1 and 2 was lower in SILS compared to LAC and HALC.

CONCLUSIONS:

SILC procedure is feasible and safe when performed by surgeons highly skilled in laparoscopy. In spite of technical difficulties, there may be potential benefits associated with SILC over LAC/HALC.

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