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Journal of Gastrointestinal Surgery

Erschienen in:

01.12.2014 | Review Article

Single-Incision versus Conventional Multiport Laparoscopic Colorectal Surgery—Systematic Review and Pooled Analysis

verfasst von: Sheraz R. Markar, Tom Wiggins, Marta Penna, Paraskevas Paraskeva

Erschienen in: Journal of Gastrointestinal Surgery | Ausgabe 12/2014

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Abstract

Background

The aim of this pooled analysis is to determine the effect of single-incision laparoscopic colorectal surgery (SILC) on short-term clinical and oncological outcomes compared with conventional multiport laparoscopic colorectal surgery (CLC).

Methods

An electronic search of Embase, Medline, Web of Science, and Cochrane databases was performed. Weighted mean differences (WMD) were calculated for the effect size of SILC on continuous variables and pooled odds ratios (POR) were calculated for discrete variables.

Results

No significant differences between the groups were noted for mortality or morbidity including anastomotic leak, reoperation, pneumonia, wound infection, port-site hernia, and operative time. The benefits of a SILC approach included reduction in time to return of bowel function (WMD = −1.11 days; 95 % C.I. −2.11 to −0.13; P = 0.03), and length of hospital stay (WMD = −1.9 days; 95 % C.I. −2.73 to −1.07; P < 0.0001). Oncological surgical quality was also shown for SILC for the treatment of colorectal cancer with a similar average lymph node harvest, proximal and distal resection margin length compared to CLC.

Conclusions

SILC can be performed safely by experienced laparoscopic surgeons with similar short-term clinical and oncological outcomes to CLC. SILC may further enhance some of the benefits of minimally invasive surgery with a reduction in blood loss and length of hospital stay.

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Titel: Single-Incision versus Conventional Multiport Laparoscopic Colorectal Surgery—Systematic Review and Pooled Analysis
verfasst von: Sheraz R. Markar
Tom Wiggins
Marta Penna
Paraskevas Paraskeva
Publikationsdatum: 01.12.2014
Verlag: Springer US
Erschienen in: Journal of Gastrointestinal Surgery / Ausgabe 12/2014
Print ISSN: 1091-255X
Elektronische ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-014-2654-6

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