title: A comparative study of single-incision versus conventional multiport laparoscopic ileocecal resection for Crohn's disease with strictures.
abstract: BACKGROUND
  Single-incision laparoscopic surgery (SILS) offers excellent cosmetic results compared with conventional multiport laparoscopic surgery. Recently, this technique has been applied to colorectal disease. However, there have been few reports about its application to Crohn's disease (CD) in the literature. The aim of this study is to describe our early experience with SILS for 11 patients with CD and make comparisons with the conventional multiport laparoscopic surgery.
  
  
  METHODS
  We reviewed all patients with CD who underwent laparoscopic surgery for the presence of ileocolic strictures at our institution between January 2006 and March 2011. Data from consecutive patients undergoing SILS were analyzed and compared with those from conventional multiport laparoscopic surgeries.
  
  
  RESULTS
  During the study period, 11 patients underwent SILS. All surgeries were completed with SILS. Operative time, blood loss and conversions were not significantly different between the two groups. Postoperative complications and length of hospital stay also had no significant difference.
  
  
  CONCLUSIONS
  In conclusion, SILS for CD may be safe and feasible in selected patients, and have better cosmetic results than conventional multiport laparoscopic surgery. Further studies are needed to evaluate the outcome of SILS compared to that of conventional laparoscopic surgery.
authors: Department of Surgical Oncology, Osaka City University Graduate School of Medicine, Osaka, Japan. m1378386@med.osaka-cu.ac.jp
authors: K
authors: K
authors: Maeda
authors: E
authors: E
authors: Noda
authors: H
authors: H
authors: Nagahara
authors: T
authors: T
authors: Inoue
authors: M
authors: M
authors: Takii
authors: K
authors: K
authors: Watanabe
authors: H
authors: H
authors: Yamagami
authors: M
authors: M
authors: Sogawa
authors: N
authors: N
authors: Kamata
authors: K
authors: K
authors: Hirakawa
mesh_terms: D000293:Adolescent; D000328:Adult; D003082:Colectomy / Q000379:methods*; D003108:Colonic Diseases / Q000209:etiology / Q000601:surgery*; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D003424:Crohn Disease / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007420:Intestine, Large / Q000601:surgery*; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult