Document Detail


Single-incision right hemicolectomy for malignancy: a feasible technique with standard laparoscopic instrumentation.
MedLine Citation:
PMID:  22776288     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Introduction:  Single-incision laparoscopy is a rapidly evolving technique in the spectrum 'standard laparoscopy-Natural Orifice Transluminal Endoscopic Surgery (NOTES)'. From a commercial perspective, purchase of articulating instruments is advised. However, we here present our early experience with single-incision laparoscopy for right hemicolectomy with standard laparoscopic instrumentation. Patients and methods:  Between June 2010 and December 2011, 25 patients presenting with malignant disease underwent single-incision laparoscopy for right hemicolectomy. Four different ports (SILS™ port Covidien- SSL ® Access system Ethicon- X-Cone/S-Portal® Storz - OCTO™ port AFS Medical) were used. Patients were recruited prospectively and all data were processed retrospectively. Results:  Twenty-five patients were included in our study. Four conversions to standard laparoscopy occurred. The median age of patients was 69 years (range: 36-89y), with a median BMI of 24.5 (range 19.1 - 34.2). The median duration of surgery was 110 minutes (range: 70-148min) with a median healed skin incision length of 35 mm (range: 20-60mm). Median hospital stay was 5 days (range: 2-15 days). In four patients discharge was delayed due to comorbidity. One patient suffered an overwhelming pneumonia. Conclusions:  Single-incision laparoscopy with standard laparoscopic instruments appears to be a safe and feasible technique for malignant disease requiring right hemicolectomy. Randomized, prospective trials are ongoing to prove the benefits of this technique, and to compare its oncological outcome measures with those of conventional laparoscopy. In our experience, a low profile port with a wide intra-abdominal range of motion is most preferable. © 2012 The Authors Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland.
Authors:
H Mufty; S Hillewaere; B Appeltans; B Houben
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-7-7
Journal Detail:
Title:  Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland     Volume:  -     ISSN:  1463-1318     ISO Abbreviation:  -     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-7-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883611     Medline TA:  Colorectal Dis     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland.
Affiliation:
Dept. of abdominal surgery, Jessa Hospital, Hasselt, Belgium.
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