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Single-access laparoscopic rectal resection versus the multiport technique: a retrospective study with cost analysis.
Umberto Bracale1, Paolo Melillo2, Fabrizio Lazzara3
1General and Mininvasive Surgical Unit, San Camillo Hospital, Trento, Italy Department of Surgical Specialities and Nephrology, University of Naples Federico II, Naples, Italy umbertobracale@gmail.com.
Surgical Innovation
|April 16, 2014
Summary
Single-access laparoscopic rectal resection (SALR) shows comparable short-term outcomes to multiport surgery, with a lower cost. SALR may be suitable for selected patients by experienced surgeons.
Area of Science:
- Colorectal surgery
- Minimally invasive surgery
- Surgical outcomes
Background:
- Single-access laparoscopic surgery (SALR) is not routinely used for colorectal disease.
- This study compares SALR with multiport laparoscopic rectal resection.
Purpose of the Study:
- To compare short-term outcomes and cost-effectiveness of SALR versus multiport laparoscopic rectal resection.
Main Methods:
- Retrospective cohort study of 42 patients (21 SALR, 21 multiport).
- Comparison of demographics, intraoperative and postoperative outcomes, and cost analysis.
- Mean follow-up of 24 months.
Main Results:
- No significant differences in bowel recovery or 30-day outcomes between groups.
- Zero conversion rate and no intraoperative complications in either group.
- SALR was associated with a lower mean cost per patient (7213 Euros) compared to multiport (7495 Euros).
Conclusions:
- SALR can be safely performed in selected patients by experienced surgeons.
- Further randomized controlled trials are necessary to evaluate outcomes and cost-effectiveness.
