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Single-incision versus conventional laparoscopic colectomy for colonic neoplasm: a randomized, controlled trial
Jensen T C Poon1, Chi-Wai Cheung, Joe K M Fan
1Division of Colorectal Surgery, Department of Surgery, Queen Mary Hospital, The University of Hong Kong, 102 Pok Fu Lam Road, Hong Kong, Hong Kong.
Surgical Endoscopy
|April 28, 2012
Summary
Single-incision laparoscopic colectomy (SILC) offers reduced postoperative pain and shorter hospital stays compared to conventional laparoscopic colectomy (CLC). This study found SILC to be a safe alternative for select patients undergoing colectomy.
Area of Science:
- Minimally Invasive Surgery
- Colorectal Surgery
- Surgical Outcomes Research
Background:
- Single-incision laparoscopic colectomy (SILC) is a novel procedure offering potential benefits like improved cosmesis and reduced pain over conventional laparoscopic colectomy (CLC).
- The safety and efficacy of SILC require rigorous evaluation through comparative studies.
Purpose of the Study:
- To compare the operative outcomes of SILC versus CLC in patients with small tumors or adenomatous polyps.
- To assess postoperative pain as the primary outcome measure.
Main Methods:
- A randomized controlled study involving patients undergoing SILC or CLC for small colorectal lesions.
- Patients were blinded to the surgical procedure.
- Postoperative pain was assessed using patient-controlled analgesia and a nominal rating scale; other operative outcomes were prospectively recorded.
Main Results:
- No significant differences were observed in patient demographics, tumor characteristics, operative time, blood loss, complication rates, lymph nodes harvested, or resection margins between SILC and CLC groups.
- The SILC group reported significantly lower median pain scores on postoperative days 1 and 2 (p=0.002 and p=0.014, respectively).
- The SILC group experienced a shorter median hospital stay compared to the CLC group.
Conclusions:
- Single-incision laparoscopic colectomy (SILC) is a safe alternative to conventional laparoscopic colectomy (CLC) for carefully selected patients with small tumors and good operative risk.
- SILC provides advantages of reduced postoperative pain and shorter hospital stay.
