Single Incision Laparoscopic Colectomies With Conventional Instrumentation- Our Experience

C Palanivelu, P Senthilnathan, P Praveen Raj, R Parthasarthi, S Rajapandian, Anirudh Vij, S Saravanakumar. GEM Hospital & Research Centre

Introduction
A prospective case series of single incision multiport laparoscopic colorectal resections for malignancy using conventional laparoscopic trocars and instruments is described.

Methods
Eleven patients (7 men and 4 women) with colonic or rectal pathology underwent single incision multiport laparoscopic colectomy/rectal resection from July till December 2010. Four trocars were placed in a single transumblical incision. The bowel was mobilized laparoscopically and vessels controlled intracorporeally with either intra or extracorporeal anastomosis.

Results
Three patients had carcinoma in the caecum, one in the ascending colon, two in the sigmoid colon, one in the descending colon, two in the rectum and two had ulcerative pancolitis (one with high grade dysplasia and another with carcinoma rectum). There was no conversion to standard multiport laparoscopy or open surgery. The median age was 52 years (range 24-78 years). The average operating time was 130 minutes (range 90-210 minutes). The average incision length was 3.2 cm (2.5-4.0 cm). There were no postoperative complications. The average length of stay was 4.5 days (range 3-8 days). Histopathology showed adequate proximal and distal resection margins with an average lymph node yield of 25 nodes (range 16-30 nodes).

Conclusion
Conclusion: Single incision multiport laparoscopic colorectal surgery for malignancy is feasible without extra cost or specialized ports/instrumentation. It does not compromise the oncological radicality of resection. Long term results are awaited.

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