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Preliminary results after Single-Incision Laparoscopic Colorectal Surgery.

E Yoshihara¹, S Van Slycke, M Krick

¹Department of General Surgery, OLV Clinic Aalst-Asse-Ninove, Aalst, Belgium.

Acta Chirurgica Belgica

|May 30, 2015

Summary

Single-incision laparoscopic surgery (SILS) is a feasible and safe colorectal procedure with cosmetic benefits. While results are comparable internationally, SILS should be reserved for select patients and experienced surgeons.

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Area of Science:

Minimally Invasive Surgery
Surgical Oncology
Gastrointestinal Surgery

Background:

Single-incision laparoscopic surgery (SILS) is an advancement in laparoscopic techniques, aiming for reduced invasiveness compared to conventional methods.
The application of SILS in colorectal surgery is gaining attention for its potential benefits.

Purpose of the Study:

To investigate the feasibility and safety of single-incision laparoscopic surgery (SILS) for colorectal procedures.
To report the initial experiences and outcomes of SILS at a single institution.

Main Methods:

A retrospective analysis of 41 consecutive patients undergoing SILS for colorectal surgery between February 2011 and April 2013.
Evaluation of patient demographics, surgical indications, operative details, intraoperative and postoperative complications, length of stay, and cosmetic outcomes.

Main Results:

SILS was successfully performed in 41 patients, including 9 colorectal cancer resections, with various procedures like hemicolectomies and sigmoidectomies.
The median operation time was 123 minutes, with a median of 8 lymph nodes identified. Postoperative complications occurred in 14% of patients, with a median length of stay of 6 days.
No mortality was observed, and all patients reported satisfactory cosmetic results, with one delayed complication (eventration).

Conclusions:

Single-incision laparoscopic surgery (SILS) is a feasible and safe option for selected colorectal procedures, offering significant cosmetic advantages.
Outcomes are comparable to international reports, but SILS should be performed by experienced surgeons on carefully selected patients.
Further prospective studies are necessary to fully elucidate the benefits of SILS in colorectal surgery.