title: Single-site laparoscopic surgery for inflammatory bowel disease.
abstract: OBJECTIVE
  Single-site laparoscopic colorectal surgery has been firmly established; however, few reports addressing this technique in the inflammatory bowel disease population exist.
  
  
  METHODS
  We conducted a case-matched retrospective review of 20 patients who underwent single-site laparoscopic procedures for inflammatory bowel disease compared with 20 matched patients undergoing multiport laparoscopic procedures. Data regarding these patients were tabulated in the following categories: demographic characteristics, operative parameters, and perioperative outcomes.
  
  
  RESULTS
  A wide range of cases were completed: 9 ileocolic resections, 7 cases of proctocolectomy with end ileostomy or ileal pouch anal anastomosis, 2 cases of proctectomy with ileal pouch anal anastomosis, and 2 total abdominal colectomies with end ileostomy were all matched to equivalent multiport laparoscopic cases. No single-incision cases were converted to multiport laparoscopy, and 2 single-incision cases (10%) were converted to an open approach. For single-incision cases, the mean length of stay was 7.7 days, the mean time to oral intake was 3.3 days, and the mean period of intravenous analgesic use was 5.0 days. There were no statistically significant differences between single-site and multiport cases.
  
  
  CONCLUSIONS
  Single-site laparoscopic surgery is technically feasible in inflammatory bowel disease. The length of stay and period of intravenous analgesic use (in days) appear to be higher than those in comparable series examining outcomes of single-site laparoscopic colorectal surgery, and the outcomes are comparable with those of multiport laparoscopy. This may be because of the nature of inflammatory bowel disease, limiting the benefits of a single-site approach in this population.
authors: Section of Colorectal Surgery, University of Texas Southwestern Medical Center, 1801 Inwood Rd, Ste WA4.416, Dallas, TX 75390-8819, USA. Craig.olson@utsouthwestern.edu.
authors: Craig H
authors: CH
authors: Olson
authors: Section of Colorectal Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.
authors: Nicole
authors: N
authors: Bedros
authors: Section of Colorectal Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.
authors: Hekmat
authors: H
authors: Hakiman
authors: Section of Colorectal Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.
authors: Farshid Y
authors: FY
authors: Araghizadeh
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000379:methods; D003082:Colectomy / Q000379:methods*; D039021:Colonic Pouches; D005260:Female; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D055815:Young Adult