Single-port laparoscopic right hemicolectomy: a safe alternative to conventional laparoscopy

Area of Science:

• Minimally Invasive Surgery
• Colorectal Surgery
• Surgical Oncology

Background:

• Single-port laparoscopic surgery aims to reduce trauma, morbidity, and improve cosmetic outcomes.
• Limited comparative data exists for single-port versus conventional laparoscopy in right colectomy.

Purpose of the Study:

• To compare the safety and feasibility of single-port laparoscopic right colectomy against conventional laparoscopic right colectomy.
• To evaluate the efficacy of single-port colectomy using standard laparoscopic instruments.

Main Methods:

• Retrospective analysis of prospectively collected data from 16 single-port and 27 conventional laparoscopic right hemicolectomies.
• Comparison of demographics, operative outcomes, and morbidity between the two groups.
• Statistical analysis using Student t-test or Fisher exact probability test.

Main Results:

• No significant differences in age, gender, BMI, prior surgery, or comorbidities between groups.
• Similar operative duration (106 vs. 100 min), blood loss (54 vs. 90 mL), and hospital stay (5.3 vs. 6 days).
• Comparable rates of malignancy (75% vs. 70%), negative margins, lymph node harvest (18 vs. 16), and morbidity (18.8% vs. 14.9%).

Conclusions:

• Single-port right colectomy is a safe and effective approach for eligible patients.
• The technique does not increase operative time, morbidity, or mortality.
• Experienced laparoscopic colorectal surgeons can adopt this method with minimal additional equipment or learning curve.