Evaluation of Current Devices in Single-Incision Laparoscopic Colorectal Surgery: A Preliminary Experience in 32 Consecutive Cases

World J Surg (2011) 35:873–880 DOI 10.1007/s00268-011-0989-7 Evaluation of Current Devices in Single-Incision Laparoscopic Colorectal Surgery: A Preliminary Experience in 32 Consecutive Cases • • Min-Hoe Chew Mark Te-Ching Wong • • Bernard Yon-Kuei Lim Kheng-Hong Ng Kong-Weng Eu Published online: 12 February 2011 Socie ´te ´ Internationale de Chirurgie 2011 Abstract Conclusion In our experience, SILS for right hemico- Background Single-incision laparoscopic colorectal sur- lectomies is safe and effective with reproducible oncologic gery (SILS) suggests a promising alternative to conven- results. SILS AR, however, requires greater modifications tional laparoscopic surgery. In this report we describe our in current devices and techniques. SILS AR can be per- initial experience with SILS for both right hemicolectomies formed for both malignant and benign diseases but addi- and anterior resections. tional ports may be necessary for the safe completion of the Methods Between June 2009 and May 2010, SILS was procedure. performed for 32 consecutive cases with benign and malignant pathology. Demographic data, intraoperative parameters, postoperative data, and pathologic data were Introduction assessed. Laparoscopic colorectal surgery for both benign and Results Twenty-one SILS right hemicolectomies, ten ARs, and one abdominal perineal resection (APR) were malignant diseases is increasingly popular due to better perioperative recovery. This is reflected by shorter median performed. For SILS right hemicolectomies, one case required full ‘‘conversion’’ to a laparoscopic procedure. The hospital stay, reduced use of parenteral narcotics and oral analgesics, and reduced morbidity [1–4]. Importantly, on- median operating time was 85 min (range 45–150 min) and the median wound length was 5.0 cm (range 3.0–10.0 cm). cologic outcomes are as effective compared to those of conventional open...