ArticleSurgical endoscopy2013
Single-incision laparoscopic surgery: outcomes from 224 colonic resections performed at a single center using SILS.
Article in Surgical endoscopy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- European association for endoscopic surgery (EAES) consensus statement on single-incision endoscopic surgery.Surgical endoscopy · 2019Guideline
- Short-Term Outcomes of Single-Incision Versus Conventional Laparoscopic Surgery for Colorectal Diseases: Meta-Analysis of Randomized and Prospective Evidence.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017Pooled it
- Single-incision versus conventional multiport laparoscopic colorectal surgery-systematic review and pooled analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2014Pooled it
- Single-port laparoscopic resection for diverticular disease: experiences with more than 300 consecutive patients.Surgical endoscopy · 2016Trial
- A randomized pilot study on single-port versus conventional laparoscopic rectal surgery: effects on postoperative pain and the stress response to surgery.Techniques in coloproctology · 2015Trial
- Oncologic long-term outcome of single-incision laparoscopic surgery (SILS) for colorectal cancer.International journal of colorectal disease · 2021Article
- Feasibility of needlescopic surgery for colorectal cancer: safety and learning curve for Japanese Endoscopic Surgical Skill Qualification System-unqualified young surgeons.Surgical endoscopy · 2020Article
- Pure transanal total mesorectal excision for rectal cancer: experience with 55 cases.Gastroenterology report · 2020Article
- [Transanal extraction vs. minilaparotomy : For laparoendoscopic left-sided colon resection].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2016Article
- Single-Port Surgery in Inflammatory Bowel Disease: A Review of Current Evidence.World journal of surgery · 2016Review
- Standardized technique for single-incision laparoscopic-assisted stoma creation.World journal of gastrointestinal endoscopy · 2016Article
- Single-incision laparoscopic surgery (SILS) for children with Crohn's disease.Pediatric surgery international · 2016Article
- Short-term and long-term outcomes of single-incision versus multi-incision laparoscopic resection for colorectal cancer: a propensity-score-matched analysis of 214 cases.Surgical endoscopy · 2016Article
- Z skin incision in reduced-port surgery for colorectal cancer.Molecular and clinical oncology · 2016Article
- Single-incision laparoscopic surgery for diverticulitis in overweight patients.Langenbeck's archives of surgery · 2015Article
- Single-Site Laparoscopic Colorectal Surgery Provides Similar Clinical Outcomes Compared With Standard Laparoscopic Surgery: An Analysis of 626 Patients.Diseases of the colon and rectum · 2015Article
- Single-port laparoscopic cholecystectomy vs standard laparoscopic cholecystectomy: A non-randomized, age-matched single center trial.World journal of gastrointestinal surgery · 2015Article
- Single-Incision Laparoscopic Right Hemi-Colectomy: a Systematic Review.The Indian journal of surgery · 2015Review
- Single-Incision Robotic Colectomy (SIRC) case series: initial experience at a single center.Surgical endoscopy · 2015Article
- Single-port laparoscopic colorectal surgery shows equivalent or better outcomes to standard laparoscopic surgery: results of a 190-patient, 7-criterion case-match study.Surgical endoscopy · 2015Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCompared with single-incision laparoscopy, multiport laparoscopy is associated with greater risk of postoperative wound pain, infection, incisional hernias, and suboptimal cosmetic outcomes. The feasibility of minimally invasive single-incision laparoscopic surgery (SILS) for colorectal procedures is well-established, but outcome data remain limited.
methodsPatients with benign diverticular disease, Crohn's disease, or ulcerative colitis admitted to Klinikum Leverkusen, Germany, for colonic resection between July 2009 and March 2011 (n = 224) underwent single-incision laparoscopic surgery using the SILS port system. Surgeons had ≥7 years' experience in laparoscopic colon surgery but no SILS experience. Patient demographic and clinical data were collected prospectively. Pain was evaluated by using a visual analog scale (0-10). Data were analyzed by using the SPSS PASW Statistics 18 database.
resultsThe majority of patients underwent sigmoid colectomy with high anterior resection (AR) or left hemicolectomy (n = 150) for diverticulitis. Our conversion rate to open surgery was 6.3 %, half in patients undergoing sigmoid colectomy with high AR or left hemicolectomy, 95 % of whom had diverticulitis. Mean operating time was 166 ± 74 (range, 40-441) min in the overall population, with shorter times for single-port transanal tumor resection (SPTTR; 89 ± 51 min; range, 40-153 min) and longer times for proctocolectomy (325 min; range, 110-441 min). Mean hospital stay was approximately 10 days, longer after abdominoperineal rectal resection or proctocolectomy (12-16 days). Most complications occurred following sigmoid colectomy with high AR or left hemicolectomy [19/25 (76 %) of early and 4/5 (80 %) of late complications, respectively]. Pain was <4 on a scale of 0-10 in all cases on postoperative day 1, and typically decreased during the next 2 days.
conclusionsOur findings support the feasibility and tolerability of colorectal surgery, conducted by experienced laparoscopic surgeons without specific training in use of the SILS port.
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Registered trials
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