ECSPECT prospective multicentre registry for single-port laparoscopic colorectal procedures.

Area of Science:

• Colorectal Surgery
• Minimally Invasive Surgery
• Surgical Outcomes

Background:

• The European Consensus of Single Port Expertise in Colorectal Treatment (ECSPECT) registry evaluated single-port colorectal surgery.
• Focus on general feasibility and safety, including preoperative risk assessment.

Purpose of the Study:

• Assess the feasibility and safety of single-port colorectal surgery.
• Identify predictors for conversion and complications.
• Develop a risk chart for patient selection.

Main Methods:

• Enrolled 1769 patients from 11 European centers (March 2010-March 2014).
• Analyzed patient, technique, and procedure-dependent parameters.
• Developed a validated sex-adjusted risk chart for predicting outcomes.

Main Results:

• 92.0% of procedures completed without additional trocars.
• Conversion rate was 4.2%, associated with male sex and higher ASA grade.
• Complications occurred in 12.7%, predicted by male sex, higher ASA grade, and rectal procedures.
• 30-day mortality was 0.5%, with 0.2% attributed to surgical causes.

Conclusions:

• Single-port colorectal surgery demonstrates feasibility and safety.
• Identified key predictors for conversion and complications.
• Findings guide patient selection for this minimally invasive approach.