SILS sigmoidectomy versus multiport laparoscopic sigmoidectomy for diverticulitis

Area of Science:

• Minimally Invasive Surgery
• Colorectal Surgery
• Surgical Outcomes

Background:

• Recurrent diverticulitis poses a significant clinical challenge.
• Laparoscopic sigmoidectomy is a standard treatment.
• Single-incision laparoscopic sigmoidectomy (SILSS) offers potential advantages over multiport laparoscopic sigmoidectomy (MLS).

Purpose of the Study:

• To compare the safety, feasibility, and outcomes of SILSS versus MLS for recurrent diverticulitis.
• To evaluate patient recovery, pain, and cosmetic results between the two surgical approaches.

Main Methods:

• A single-institution study comparing 60 sigmoidectomies (40 MLS, 20 SILSS) performed by a single surgeon.
• Outcomes including morbidity, mortality, operative time, recovery of bowel function, pain scores, hospital stay, and cosmesis were analyzed.

Main Results:

• No significant differences in morbidity, mortality, or readmission rates were observed.
• SILSS demonstrated faster return to bowel function and oral intake, with significantly reduced postoperative pain.
• SILSS was associated with better cosmetic outcomes, though operative time and disposable costs were higher.

Conclusions:

• Single-incision laparoscopic sigmoidectomy (SILSS) is a safe and feasible surgical option for recurrent diverticulitis.
• SILSS offers benefits of earlier recovery, reduced postoperative pain, and improved cosmesis.
• Further research may explore cost-effectiveness and long-term outcomes.