Comparison of clinical outcome of single-incision laparoscopic surgery using a simplified access system with conventional laparoscopic surgery for malignant colorectal disease
Version of Record online: 5 MAR 2012
© 2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland
Volume 14, Issue 4, pages e171–e176, April 2012
How to Cite
Lu, C.-C., Lin, S.-E., Chung, K.-C. and Rau, K.-M. (2012), Comparison of clinical outcome of single-incision laparoscopic surgery using a simplified access system with conventional laparoscopic surgery for malignant colorectal disease. Colorectal Disease, 14: e171–e176. doi: 10.1111/j.1463-1318.2011.02825.x
- Issue online: 5 MAR 2012
- Version of Record online: 5 MAR 2012
- Accepted manuscript online: 13 SEP 2011 03:07PM EST
- Received 22 March 2011; accepted 10 August 2011; Accepted Article Online 13 September 2011
- Conventional laparoscopy;
- laparoscopic colectomy;
- single-incision laparoscopy
Aim Instrument crowding is encountered in single-incision laparoscopic surgery (SILS). Our aim was to compare the results of SILS with those of conventional laparoscopic surgery (CLS) for malignant colorectal disease.
Methods The records of 27 patients who received SILS for the treatment of malignant disease using a home-made multiple-port system were compared with those of 68 patients who received CLS performed in a standard manner using four to five trocar sites.
Results There were no significant differences in age, gender, disease stage, tumour location or tumour size between the SILS and CLS groups. The most common surgery was high anterior resection in both groups (SILS, 63.0%vs CLS, 58.8%). There were no significant differences between the groups in types of surgery performed, length of bowel resected, resection margin, blood loss, duration of surgery or postoperative complications. Postoperative pain scores were significantly higher in the SILS group than in the CLS group (3.07 ± 1.14 vs 2.41 ± 0.63, respectively, P < 0.001).
Conclusions SILS is as effective as CLS, and is not associated with increased duration of surgery, blood loss or complications.