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A comparative study of single‐incision versus conventional multiport laparoscopic ileocecal resection for C rohn's disease with strictures
Author(s) -
Maeda K,
Noda E,
Nagahara H,
Inoue T,
Takii M,
Watanabe K,
Yamagami H,
Sogawa M,
Kamata N,
Hirakawa K
Publication year - 2012
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/j.1758-5910.2012.00132.x
Subject(s) - medicine , surgery , laparoscopic surgery , blood loss , resection , laparoscopy , general surgery
Single‐incision laparoscopic surgery ( SILS ) offers excellent cosmetic results compared with conventional multiport laparoscopic surgery. Recently, this technique has been applied to colorectal disease. However, there have been few reports about its application to C rohn's disease ( CD ) in the literature. The aim of this study is to describe our early experience with SILS for 11 patients with CD and make comparisons with the conventional multiport laparoscopic surgery. Methods We reviewed all patients with CD who underwent laparoscopic surgery for the presence of ileocolic strictures at our institution between J anuary 2006 and M arch 2011. Data from consecutive patients undergoing SILS were analyzed and compared with those from conventional multiport laparoscopic surgeries. Results During the study period, 11 patients underwent SILS . All surgeries were completed with SILS . Operative time, blood loss and conversions were not significantly different between the two groups. Postoperative complications and length of hospital stay also had no significant difference. Conclusion In conclusion, SILS for CD may be safe and feasible in selected patients, and have better cosmetic results than conventional multiport laparoscopic surgery. Further studies are needed to evaluate the outcome of SILS compared to that of conventional laparoscopic surgery.