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- Title
Single-port laparoscopic colorectal resections in obese patients are as safe and effective as conventional laparoscopy.
- Authors
Aytac, Erman; Turina, Matthias; Gorgun, Emre; Stocchi, Luca; Remzi, Feza; Costedio, Meagan
- Abstract
Background: Obese patients pose additional operative technical difficulties, and it is unclear if the outcomes of single-port colorectal surgery are equivalent to those of conventional laparoscopy in such patients. The aim of this study was to compare perioperative variables and short-term outcomes of single-port versus conventional laparoscopy in obese patients undergoing colorectal surgery. Patients and methods: Obese patients (BMI ≥ 30 kg/m) undergoing single-port laparoscopic colorectal resections between March 2009 and September 2012 were case matched 1:1 with obese counterparts undergoing conventional (multi-port) laparoscopic surgery based on diagnosis and operation type. Results: Thirty-seven patients who underwent single-port surgery were matched with 37 conventional laparoscopic counterparts. Male gender predominated in the single-port group (26 vs 15, p = 0.02). The number of patients with a history of previous abdominal operations (17 vs 13, p = 0.48) and ASA score (3 vs 2, p = 0.6) were similar between the groups. No differences were observed with respect to conversion rate (2 vs 5, p = 0.43), operative time (146 vs 150 min, p = 0.48), estimated blood loss (159 vs 183 ml, p = 0.99), time to first flatus (3 vs 3 days, p = 0.91), time to first bowel movement (3 vs 4 days, p = 0.62), length of hospital stay (7 vs 6 days, p = 0.37), or reoperation (2 vs 1, p > 0.99), and readmission rates (2 vs 2, p > 0.99). There were no deaths. Conclusion: For obese patients undergoing colorectal resections, single-port laparoscopy appears to be as safe and effective as conventional laparoscopy.
- Subjects
OVERWEIGHT persons; COLON surgery; LAPAROSCOPIC surgery; LAPAROSCOPY; BARIATRIC surgery
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2014, Vol 28, Issue 10, p2884
- ISSN
1866-6817
- Publication type
Article
- DOI
10.1007/s00464-014-3542-6