Single port laparoscopic right colonic resection using a 'vessel-first' approach.

Area of Science:

• Colorectal Surgery
• Minimally Invasive Surgery
• Surgical Oncology

Background:

• Single port laparoscopic colorectal surgery (SPLC) involves a single incision of ≤ 3 cm.
• Previous studies have established the feasibility of SPLC for various colorectal procedures.
• Right hemicolectomy is a common procedure for conditions such as colorectal cancer and Crohn's disease.

Purpose of the Study:

• To evaluate the safety and efficacy of SPLC as the primary surgical approach for right hemicolectomy.
• To compare SPLC outcomes with those of conventional multiport laparoscopic colorectal surgery (LCS).

Main Methods:

• A prospective study comparing SPLC with a historical cohort of LCS for right hemicolectomy.
• Data collected included operative time, length of hospital stay, complications, conversions, and readmissions.
• The study focused on radical medial to lateral right hemicolectomy performed by a single surgeon.

Main Results:

• Fourteen patients underwent SPLC, and twelve underwent LCS for indications including carcinoma, Crohn's disease, and adenoma.
• Median operative times were 120 min for SPLC and 135 min for LCS.
• Median hospital stays were 3.5 days for SPLC and 4.0 days for LCS.
• No conversions, complications, or readmissions were reported in either group.
• Median lymph node retrieval was 14.5 for both SPLC and LCS groups.

Conclusions:

• Single port laparoscopic colorectal surgery (SPLC) is a feasible technique for right hemicolectomy.
• The findings suggest that SPLC is both safe and efficacious for this procedure.
• SPLC offers comparable outcomes to multiport laparoscopic colorectal surgery (LCS).