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ORIGINAL CONTRIBUTION Single-Incision Versus Multiport Laparoscopic Right and Hand-Assisted Left Colectomy: A Case-Matched Comparison 1 1 2 Sang W. Lee, M.D. Jeffrey W. Milsom, M.D. Garrett M. Nash, M.D., M.P.H. 1 New York-Presbyterian Hospital, Weill Cornell Medical College, New York, New York 2 Memorial Sloan-Kettering Cancer Center, New York, New York BACKGOUND: New technology for single-incision RESULTS: The largest incision length was significantly laparoscopic colectomy is now commercially available, shorter for the single-incision group. Two patients with single incisions were converted to hand-assisted yet advantages of this approach over multiport laparoscopic colectomy have not been demonstrated. laparoscopic surgery and 4 required placement of a 5-mm trocar. A significantly greater portion of the OBJECTIVE: This study aimed to compare the outcomes operation was performed by the attending surgeons in of patients who underwent single-incision vs multiport the single-incision group. For right colectomies, laparoscopic colectomies. operative times were similar. For left colectomies, DESIGN: Consecutive patients who underwent single- operative time (149 30 vs 126 21 min) was incision laparoscopic colectomies were case matched to significantly longer for the single-incision group. Time to flatus and bowel movements were significantly shorter patients who underwent multiport laparoscopic for the single-incision
Diseases of the Colon & Rectum – Wolters Kluwer Health
Published: Nov 1, 2011
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