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Single-incision versus hand-assisted laparoscopic colectomy: a case-matched series
Dhruvil P Gandhi1, Madhu Ragupathi, Chirag B Patel
1Division of Minimally Invasive Colon and Rectal Surgery, Department of Surgery, University of Texas Medical School at HoustonColorectal Surgical Associates Ltd, LLP, 7900 Fannin Street, Suite 2700, Houston, TX 77054, USA.
Summary
Single-incision laparoscopic colectomy offers a safe alternative to hand-assisted surgery. While operative time is longer, it leads to smaller incisions and shorter hospital stays for patients.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Surgery
Background:
- Single-incision laparoscopic colorectal surgery is an emerging technique.
- This study compares single-incision colectomy to hand-assisted laparoscopic colectomy.
Purpose of the Study:
- To investigate and compare intraoperative and short-term outcomes of single-incision laparoscopic colectomy versus hand-assisted laparoscopic colectomy.
Main Methods:
- A matched-pair analysis was conducted between July and November 2009.
- Patients were matched based on gender, age, BMI, pathology, and procedure type.
- Demographic, intraoperative, and postoperative data were collected and assessed.
Main Results:
- Twenty-four matched pairs of patients were analyzed (mean age 55.1 years, BMI 28.5 kg/m²).
- Single-incision procedures had longer operative times (143.2 min vs. 112.8 min) but smaller incision lengths (2-6 cm vs. 5-11 cm).
- No significant differences were found in conversions or intraoperative complications; however, length of stay was shorter for single-incision (2.7 days vs. 3.3 days).
Conclusions:
- Single-incision laparoscopic colectomy is a safe and feasible alternative to hand-assisted laparoscopic surgery.
- The technique is associated with a longer operative time but results in smaller incisions and reduced hospitalization duration.
