Single Incision Laparoscopic Colectomy for Benign Colon Diseases

Abstract

Purpose. The purpose of this study was to evaluate the treatment outcomes of single incision laparoscopic surgery (SILS) using a unique access for patients with benign colon diseases and to compare them with the short-term surgical outcomes among different procedures.Methods. Medical records of patients receiving SILS using a self-made multiple-port system for the treatment of benign colon diseases between March 2010 and December 2011 were collected and reviewed. All operations were performed by a single surgeon. Demographic and clinical data of patients receiving different procedures were recorded and compared.Results. Including 20 males and 18 females, 38 patients were collected for the study analyses. Among them, 11 patients received right-side colon resection, 18 received left-side colon resection, and 9 received total colectomy. No significant differences in gender, body mass index, tumor size, incision length or estimated blood loss among these groups of patients were found. However, significantly younger age, longer duration of operation and length of bowel resection were noted in the patients undergoing total colectomy. Curved instruments were used in 5 patients (27.8%) in the left-side colon resection group. There were no significant differences in the pain scores and average length of hospital stay among the three groups.Conclusions. Simple self-made access device demonstrated a safe and economic option of SILS for colorectal diseases. The study indicates that SILC performed with our self-made access device provides relatively safe clinical outcome to the patients with benign colon diseases even with total colectomy.