2011, Number 4
Left colectomy early experience with single port approach in a third level health care center
Camacho-Mauries D, Salgado-Nesme N, Ramírez AEM, González QH
Language: Spanish
References: 10
Page: 155-159
PDF size: 297.60 Kb.
ABSTRACT
Background: Single port surgery is trendy and in recent years has taken on greater importance in colorectal surgery. Multiple surgical journals are describing series and case reports demonstrating the feasibility and safety of this approach. It is expected to reduce the trauma and inflammatory response by minimizing the number of incisions and thereby reducing postoperative pain and gain cosmetic benefits associated with a lower risk of long-term incisional hernias. Methods: We reviewed retrospectively the records of patients who consecutively attended the Institute for surgery for a left hemicolectomy. Inclusion criteria: Patients with post-operative left hemicolectomy with single port approach. Results: We operated 9 patients (3 women and 6 men). Most patients had a diagnosis of diverticulitis and 1 with a diagnosis of adenocarcinoma. The wound was 3.4 cm on average (range 3-5 cm). We did not have any intraoperative complication and no conversion. Surgical time was 91 min on average (55-120), bleeding average 41 mL (10-120). All patients started diet after 48 h, and the hospital stay was in average 5 days (3-14). Conclusion: The approach for single port is safe and feasible to perform left hemicolectomies.REFERENCES