Single-port laparoscopic colectomy is safe and feasible in patients with previous abdominal surgery.

Abstract:

BACKGROUND:The aim of this study was to assess the impact of previous abdominal surgery (PAS) on single-port laparoscopic colectomy (SPLC). METHODS:We studied 429 consecutive patients who underwent SPLC in our department from May 2009 to December 2013. Patients were divided into 2 groups: those with PAS (PAS group) and those with NPAS (NPAS group). Operative parameters and outcomes were analyzed between the 2 groups retrospectively. RESULTS:SPLC was performed in 152 PAS patients and 277 NPAS patients. Eight patients in the PAS group and 6 patients in the NPAS group were converted to multiport laparoscopic colectomy (5.3% vs. 2.2%, respectively; P = .077). Three patients in the PAS group and 2 patients in the NPAS group had inadvertent enterotomy (2.0% vs. .7%, respectively; P = .352). No patients were converted to open surgery. There were no significant differences between the 2 groups in terms of blood loss, operative time, and postoperative outcomes. CONCLUSION:Our experience has demonstrated the safety and feasibility of SPLC in patients with PAS.

journal_name

Am J Surg

authors

Tei M,Wakasugi M,Omori T,Ueshima S,Tori M,Akamatsu H

doi

10.1016/j.amjsurg.2014.06.015

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

1007-12

issue

6

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(14)00370-5

journal_volume

209

pub_type

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