title: [Single-port colonic surgery : techniques and indications].
abstract: Colonic surgery is feasible with the single-port technique using standard laparoscopic instruments. Operative time and complication rates are comparable to conventional standard laparoscopic procedures. Position of instruments (crossed over) and orientation are somewhat different and need to be trained and practiced. In this patient collective 200 colon resections covering the complete spectrum of colonic surgery were done in our department. Of these 120 patients were operated on because of sigma diverticulitis. The average operative time was 149 min whereby 6 patients (5.0%) had to be converted to an open procedure, 12 (10.0%) patients had early complications, of which 6 (5.0%) had minor wound complications which were treated conservatively and 4 (3.3%) patients had late complications (2 stenoses and 2 hernias) during the mean follow-up time of 7.5 months (range 6-14 months). The cosmetic effect was very good and functional results were good. Single-port colon operations are the least invasive procedure available at the moment.
authors: Abteilung für Allgemein-, Visceral- und Thoraxchirurgie, Klinikum Leverkusen, Deutschland. boris.vestweber@klinikum-lev.de
authors: B
authors: B
authors: Vestweber
authors: E
authors: E
authors: Straub
authors: B
authors: B
authors: Kaldowski
authors: C
authors: C
authors: Paul
authors: A
authors: A
authors: Alfes
authors: F
authors: F
authors: Haaf
authors: K H
authors: KH
authors: Vestweber
mesh_terms: D003082:Colectomy / Q000295:instrumentation / Q000379:methods; D003108:Colonic Diseases / Q000601:surgery*; D003110:Colonic Neoplasms / Q000601:surgery; D039021:Colonic Pouches; D004239:Diverticulitis, Colonic / Q000601:surgery; D005240:Feasibility Studies; D046449:Hernia, Abdominal / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000517:prevention & control; D007431:Intraoperative Complications / Q000209:etiology / Q000601:surgery; D010535:Laparoscopy / Q000295:instrumentation* / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D016737:Proctocolectomy, Restorative / Q000295:instrumentation / Q000379:methods; D012810:Sigmoid Diseases / Q000601:surgery; D013523:Surgical Equipment; D013530:Surgical Wound Infection / Q000209:etiology / Q000517:prevention & control; D013996:Time and Motion Studies