Implementation and usefulness of single-access laparoscopic segmental and total colectomy

التفاصيل البيبلوغرافية
العنوان: Implementation and usefulness of single-access laparoscopic segmental and total colectomy
المؤلفون: M N, Baig, M, Moftah, J, Deasy, D A, McNamara, R A, Cahill
المصدر: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland. 14(10)
سنة النشر: 2012
مصطلحات موضوعية: Adult, Aged, 80 and over, Treatment Outcome, Colonic Neoplasms, Humans, Gloves, Surgical, Laparoscopy, Prospective Studies, Middle Aged, Inflammatory Bowel Diseases, Colectomy, Perioperative Care, Aged
الوصف: Single-access laparoscopic surgery is a recent vogue in the field of minimally invasive colorectal surgery. While selected series have indicated feasibility, we prospectively examined its usefulness for resectional surgery in routine practice.All patients undergoing laparoscopic colorectal resection over a 12-month period were considered for a single-access approach by a single surgical team in a university hospital. This utilized a 'glove' port via a 3-5 cm periumbilical or stomal site incision, with standard rigid laparoscopic instruments then being used.Of 76 planned laparoscopic colorectal resections, 35 (47%) were performed by this single-incision laparoscopic modality without disruption of theatre list efficiency or surgical training obligations. The mean (range) age and body mass index of these 25 consecutive right-sided resections, eight total colectomies (seven urgent operations) and two anterior resections was 58 (22-82) years and 23.9 (18.6-36.2) kg/m(2) , respectively. The modal postoperative day of discharge was 4. For right-sided resections, the mean (range) postoperative stay in those undergoing surgery for benign disease was 4.0 days, while for those undergoing operation for neoplasia (n=18, mean age 71 years) it was 5.8 days and the average lymph node harvest was 13. Use of the glove port reduced trocar cost by 58% (€60/£53) by allowing the use of trocar sleeves alone without obturators.Single-incision laparoscopic surgery is an effective option for abdominal surgery and seems especially suited for laparoscopic-assisted right-sided colonic resections. The glove port technique facilitates procedural frequency and familiarity and proves economically favourable.
تدمد: 1463-1318
URL الوصول: https://explore.openaire.eu/search/publication?articleId=pmid________::54a6e614d082c8512b4d0425e7d23d80
https://pubmed.ncbi.nlm.nih.gov/22309248
رقم الانضمام: edsair.pmid..........54a6e614d082c8512b4d0425e7d23d80
قاعدة البيانات: OpenAIRE