Single Incision Laparoscopic Surgery (SILS) is a novel approach to laparoscopic surgery. The advantages and safety of SILS are unclear. We report our experience in five patients who underwent SILS right colon procedures by a single surgeon (TSK) from October 2008 to September 2009. Prospectively collected data included: diagnosis, estimated blood loss (EBL), length of stay (LOS), lymph node count (LN), operative time (OR time) and time to return of bowel function. The procedures were performed using two 5 mm low-profile ports and one 11 mm port.all placed within a 4 cm supra-umbilical midline incision. A medial to lateral dissection was utilized using a 10mm Ligasure® to divide the mesentery. The anastomosis was constructed using an extracorporeal side-side technique. Indications for surgery included: tubullovillous adenoma (3), carcinoid (1) and adenocarcinoma (1). One patient underwent a cecal wedge resection. The remaining four patients had right colectomies. There were no conversions to standard laparoscopy. The average LOS was 4.2 days (n=5, range 2 to 6 days). The average LN harvest (excluding the wedge cecectomy patient) and EBL was 16.5 (n=4, range 13 to 22) and 65ml, respectively. Average OR time was 137 minutes (n=4) and time to return of bowel function was 2.2 days(n=5, range 1 to 3 days). There were no intra-operative or postoperative complications. In our experience, SILS is a safe and feasible technique for right colon resections that reduces the number of fascial and skin incisions. Further research is needed to determine if SILS colectomy reduces postoperative pain.
Program Number: P130