title: Early Experience with Single-Incision Laparoscopic Total Abdominal Colectomy in Children.
abstract: OBJECTIVE
  Single-incision laparoscopic surgery for pediatric colorectal disease has been shown to be feasible and safe; however, the literature is scarce regarding the outcomes of single-incision laparoscopic total abdominal colectomy (SIL-TAC) in the pediatric population. The purpose of this pilot study was to review our initial experience and outcomes with SIL-TAC.
  
  
  METHODS
  A retrospective review of patients who underwent SIL-TAC from 2013 to 2015 was performed. General demographic and outcome data were analyzed.
  
  
  RESULTS
  Five patients were included. Indications included ulcerative colitis (n = 4) and colonic dysmotility (n = 1). The median age was 13.5 years (8.5-19.4 years) and the median body mass index (BMI) percentile was 77.4 (2.2-98). The median operative time was 182 minutes (163-244 minutes). One case was converted to an open procedure. The median postoperative self-reported pain score was 2.8 (1.2-4.5). The median time until initiation of a diet was 2 days (1-8 days). The median length of hospital stay was 5 days (3-11 days). There were no 30-day complications.
  
  
  CONCLUSIONS
  SIL-TAC is feasible and safe in children and offers improved cosmesis.
authors.affiliation: Division of Pediatric Surgery, Johns Hopkins All Children's Hospital , Saint Petersburg, Florida.
authors.forename: Cristen N
authors.initials: CN
authors.lastname: Litz
authors.affiliation: Division of Pediatric Surgery, Johns Hopkins All Children's Hospital , Saint Petersburg, Florida.
authors.forename: Paul D
authors.initials: PD
authors.lastname: Danielson
authors.affiliation: Division of Pediatric Surgery, Johns Hopkins All Children's Hospital , Saint Petersburg, Florida.
authors.forename: Nicole M
authors.initials: NM
authors.lastname: Chandler
mesh_terms: D000293:Adolescent; D002648:Child; D003082:Colectomy / Q000009:adverse effects / Q000379:methods*; D003093:Colitis, Ulcerative / Q000601:surgery*; D061887:Conversion to Open Surgery; D004435:Eating; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay; D008297:Male; D061646:Operative Time; D010149:Postoperative Pain / Q000209:etiology; D010865:Pilot Projects; D020127:Recovery of Function; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult
keywords: colorectal; minimally invasive; pediatric surgery; single incision