title: Safety, feasibility, and short-term outcomes of single port access colorectal surgery: a single institutional case-matched study.
abstract: BACKGROUND
  Feasibility of single port access (SPA) colorectal surgery has been established for various procedures from ileocecal resection to proctectomy. Nevertheless, its benefits compared to conventional laparoscopy still need to be assess. The aim of this study was to compare SPA to conventional colorectal laparoscopic surgery in a single institutional case-matched study.
  
  
  METHODS
  From July 2009 to July 2010, 25 SPA colorectal resections were matched on main predictive risk factors of postoperative complications, in a one to two fashion, with patient having the same procedure for the same indication by conventional laparoscopy.
  
  
  RESULTS
  Patient characteristics were comparable between both groups. SPA was successfully performed in 24 of 25 patients, with a need to conversion to standard laparoscopy in one case (4%). SPA was associated with a significantly shorter median operative time (130 vs 180 min, p = 0.04) and hospital stay (6 vs 7 days, p = 0.005). Postoperative morbidity rates were similar between the two groups (4% vs 16%, p = 0.25).
  
  
  CONCLUSIONS
  SPA colorectal resection can be safely performed in selected patients with results comparable to those observed after conventional laparoscopic surgery. However, larger studies including randomized controlled trail are needed to demonstrate possible benefits of SPA colorectal resection over conventional colorectal laparoscopic surgery.
authors: Department of Colorectal Surgery, Beaujon Hospital, Assistance Publique Hôpitaux de Paris (AP-HP), Paris, France.
authors: Sébastien
authors: S
authors: Gaujoux
authors: Léon
authors: L
authors: Maggiori
authors: Frédéric
authors: F
authors: Bretagnol
authors: Marianne
authors: M
authors: Ferron
authors: Yves
authors: Y
authors: Panis
mesh_terms: D000328:Adult; D000368:Aged; D003082:Colectomy / Q000379:methods*; D003108:Colonic Diseases / Q000601:surgery*; D004867:Equipment Design; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013997:Time Factors; D016896:Treatment Outcome