title: Short and long-term outcomes of a randomised controlled trial of vertical periumbilical wound versus transverse left iliac fossa wound for specimen retrieval in laparoscopic anterior resections.
abstract: BACKGROUND
  The ideal incision for laparoscopic specimen extraction is not known. There has been no randomised study thus far evaluating extraction site in laparoscopic colorectal surgery. The aim of our study was to compare post-operative outcomes, pain scores and quality of life scores of vertical periumbilical (VW) versus transverse left iliac fossa (TW) incisions for specimen extraction in laparoscopic anterior resections.
  
  
  METHODS
  Using an assumption of pain score of 5 in the VW group versus pain score of 2 in the TW group, on day one post-operatively, and based on a 80% statistical power of analysis to achieve a statistical difference with reduction in pain scores, the sample size per arm calculated was 16. Forty patients undergoing laparoscopic anterior resection were randomised to VW (n = 20) or TW (n = 20). Primary endpoint was post-operative pain. Secondary endpoints were post-operative outcomes, wound cosmesis using Hollander Cosmesis Score and quality of life assessment using EQ-5D at 2 weeks and 2 months post-operatively.
  
  
  RESULTS
  Median pain score on the first post-operative day was 2 in both groups (p = 0.360). There was no significant difference in wound infection rates, operative time or post-operative recovery. Cosmesis scores and EQ-5D scores were also similar in both groups. At a median follow-up of 30 months, the incidence of extraction site incisional hernia was similar.
  
  
  CONCLUSIONS
  Transverse and vertical incisions in laparoscopic colorectal surgery have similar post-operative outcomes, with similar pain scores, cosmesis scores, quality of life scores and incisional hernia rates.
authors.affiliation: Department of Colorectal Surgery, Singapore General Hospital, Academia, 20 College Road, Singapore, 169856, Singapore, wahsiewtan@gmail.com.
authors.forename: Wah-Siew
authors.initials: WS
authors.lastname: Tan
authors.forename: Min-Hoe
authors.initials: MH
authors.lastname: Chew
authors.forename: Kok-Sun
authors.initials: KS
authors.lastname: Ho
authors.forename: Juriyah Binte
authors.initials: JB
authors.lastname: Yatim
authors.forename: Joanne Siew-Foon
authors.initials: JS
authors.lastname: Lai
authors.forename: Choong-Leong
authors.initials: CL
authors.lastname: Tang
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003107:Colorectal Surgery / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D045823:Ileus / Q000601:surgery*; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010149:Postoperative Pain / Q000209:etiology; D011788:Quality of Life; D014472:Umbilicus / Q000601:surgery*