Single Port Laparoscopic Surgery Versus Conventional Laparoscopic Surgery, Comparative Study,
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- Category: Vol. 84, March 2016
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Single Port Laparoscopic Surgery Versus Conventional Laparoscopic Surgery, Comparative Study, AHMED F.A. FARAG, ABDRABOU N. MASHHOUR and AHMED M. ABD EL-SALAM
Abstract
Background: Conventional multiport laparoscopic colec-tomy has proven to be an effective and safe procedure in expert hands. Aiming at further decrease in surgical trauma and to improve the overall outcomes, Single Incision Laparo-scopic Surgery (SILS) has emerged in the field of colorectal surgery.
Patients and Methods: This prospective randomized controlled trial was conducted on 34 patients in the period from Feb. 2011 to Feb. 2013 in Colorectal Unit, Kasr Al-Ainy Hospitals, Cairo University. Patients were allocated into either Group A who were operated upon using conventional laparos-copy, or Group B in which SILS was used. Demographic data, operative and post operative results were assessed and com-pared in both groups.
Results: There were significant differences in operative time and post operative pain in the favor of SILS colectomy with p-value of 0.0001 and 0.009 respectively. There were no significant differences between the two groups as regards rate of conversion to open, wound infection, length of hospital stay, post-operative mortality, safety margins and number of lymph nodes extracted.
Conclusion: SILS colectomy is feasible when preformed by experts in laparoscopic surgery and can be used as a substitute to the conventional multiport laparoscopy.