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

Am J Surg. 2015 Jun;209(6):1007-12. doi: 10.1016/j.amjsurg.2014.06.015. Epub 2014 Aug 14.

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.

Keywords: Colorectal disease; Previous abdominal surgery; Single-incision laparoscopic surgery; Single-port surgery.

Publication types

  • Evaluation Study

MeSH terms

  • Abdomen / surgery*
  • Adult
  • Aged
  • Aged, 80 and over
  • Colectomy / methods*
  • Colonic Diseases / surgery*
  • Feasibility Studies
  • Female
  • Humans
  • Laparoscopy / methods*
  • Male
  • Middle Aged
  • Retrospective Studies
  • Treatment Outcome