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Oral Presentation - Topic: Colorectal: program no. S090SAGES Concurrent Session SS16 - Single incisionIntroduction: This randomized controlled study compared the operative outcome of single portlaparoscopic colectomy (SPLC) and conventional laparoscopic colectomy (CLC). The primaryoutcome measure was the post-operative pain.Methods: Patients who had small cancer (\4 cm) or adenomatous polyp requiring colectomy wererandomized to have SPLC or CLC. All patients had patient controlled analgesia after operation andtheir visual analogue score of pain (pain score) on day 1-3 and14 were recorded by research staff. Boththe patients and research staff were blinded to the type of procedure. Other operative outcomes and thecharacteristics of the two groups of patients were also recorded prospectively and compared. Categoricalvariables were compared by Chi-square test or Fisher’s exact test as appropriate. Continuousvariables were presented as their median (interquartile range) and were compared by Mann-WhitneyU test. P value of\0.05 was regarded as statistically significant.Results: The SPLC group had 23 patients (8 right colectomy, 3 left colectomy, 12 anterior resection)and complication occurred in one patient who had wound infection. The CLC groups had also 23patients (9 right colectomy, 3 left colectomy, 12 anterior resection) and complication occurred in threepatients (wound infection 92 & ileus 91). There was no operative mortality in both groups. Thecomparison of patient characteristics and operative outcomes was presented in Table 1. The patientdemographics, operating time, blood loss were similar between the 2 groups. When compared to theCLC group, the SPLC group had significantly lower pain score at rest on day 1 [3 (1–5) vs. 0 (0–2);p\0.01], day 2 [2 (0–4) vs. 0 (0–2); p = 0.02] after operation and shorter hospital stay [5 (4–6) vs. 4(3–4) days; p\0.01]. There was no difference in the margins of resection.Conclusions: Single port laparoscopic colectomy is a safe procedure with low complication rate.Compared with conventional laparoscopic colectomy, single port procedure is associated withreduced wound pain in early post-operative period and shorter hospital stay.Link_to_subscribed_fulltex

surgical endoscopy/surgical endoscopy and other interventional techniques

2012 Scientific Session of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) San Diego, California, USA, 7–10 March 2012 Oral Presentations