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Conference Paper: Comparison of single port and conventional laparoscopic colectomy: A randomized controlled trial

TitleComparison of single port and conventional laparoscopic colectomy: A randomized controlled trial
Authors
Issue Date2012
PublisherSpringer New York LLC. The Journal's web site is located at http://link.springer-ny.com/link/service/journals/00464/
Citation
The 2012 Scientific Session of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), San Diego, CA., 7-10 March 2012. In Surgical Endoscopy, 2012, v. 26 suppl. 1, p. S187, abstract no. 38781 How to Cite?
AbstractIntroduction: This randomized controlled study compared the operative outcome of single port laparoscopic colectomy (SPLC) and conventional laparoscopic colectomy (CLC). The primary outcome measure was the post-operative pain. Methods: Patients who had small cancer (\4 cm) or adenomatous polyp requiring colectomy were randomized to have SPLC or CLC. All patients had patient controlled analgesia after operation and their visual analogue score of pain (pain score) on day 1-3 and14 were recorded by research staff. Both the patients and research staff were blinded to the type of procedure. Other operative outcomes and the characteristics of the two groups of patients were also recorded prospectively and compared. Categorical variables were compared by Chi-square test or Fisher’s exact test as appropriate. Continuous variables were presented as their median (interquartile range) and were compared by Mann-Whitney U test. P value of\0.05 was regarded as statistically significant. Results: The SPLC group had 23 patients (8 right colectomy, 3 left colectomy, 12 anterior resection) and complication occurred in one patient who had wound infection. The CLC groups had also 23 patients (9 right colectomy, 3 left colectomy, 12 anterior resection) and complication occurred in three patients (wound infection 92 & ileus 91). There was no operative mortality in both groups. The comparison of patient characteristics and operative outcomes was presented in Table 1. The patient demographics, operating time, blood loss were similar between the 2 groups. When compared to the CLC group, the SPLC group had significantly lower pain score at rest on day 1 [3 (1–5) vs. 0 (0–2); p\0.01], day 2 [2 (0–4) vs. 0 (0–2); p = 0.02] after operation and shorter hospital stay [5 (4–6) vs. 4 (3–4) days; p\0.01]. There was no difference in the margins of resection. Conclusions: Single port laparoscopic colectomy is a safe procedure with low complication rate. Compared with conventional laparoscopic colectomy, single port procedure is associated with reduced wound pain in early post-operative period and shorter hospital stay.
DescriptionOral Presentation - Topic: Colorectal: program no. S090
SAGES Concurrent Session SS16 - Single incision
Persistent Identifierhttp://hdl.handle.net/10722/160430
ISSN
2015 Impact Factor: 3.54
2015 SCImago Journal Rankings: 1.695

 

DC FieldValueLanguage
dc.contributor.authorPoon, TCJen_US
dc.contributor.authorCheung, CWen_US
dc.contributor.authorLaw, WLen_US
dc.contributor.authorFan, JKMen_US
dc.contributor.authorLo, OSHen_US
dc.date.accessioned2012-08-16T06:11:06Z-
dc.date.available2012-08-16T06:11:06Z-
dc.date.issued2012en_US
dc.identifier.citationThe 2012 Scientific Session of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), San Diego, CA., 7-10 March 2012. In Surgical Endoscopy, 2012, v. 26 suppl. 1, p. S187, abstract no. 38781en_US
dc.identifier.issn0930-2794-
dc.identifier.urihttp://hdl.handle.net/10722/160430-
dc.descriptionOral Presentation - Topic: Colorectal: program no. S090-
dc.descriptionSAGES Concurrent Session SS16 - Single incision-
dc.description.abstractIntroduction: This randomized controlled study compared the operative outcome of single port laparoscopic colectomy (SPLC) and conventional laparoscopic colectomy (CLC). The primary outcome measure was the post-operative pain. Methods: Patients who had small cancer (\4 cm) or adenomatous polyp requiring colectomy were randomized to have SPLC or CLC. All patients had patient controlled analgesia after operation and their visual analogue score of pain (pain score) on day 1-3 and14 were recorded by research staff. Both the patients and research staff were blinded to the type of procedure. Other operative outcomes and the characteristics of the two groups of patients were also recorded prospectively and compared. Categorical variables were compared by Chi-square test or Fisher’s exact test as appropriate. Continuous variables were presented as their median (interquartile range) and were compared by Mann-Whitney U test. P value of\0.05 was regarded as statistically significant. Results: The SPLC group had 23 patients (8 right colectomy, 3 left colectomy, 12 anterior resection) and complication occurred in one patient who had wound infection. The CLC groups had also 23 patients (9 right colectomy, 3 left colectomy, 12 anterior resection) and complication occurred in three patients (wound infection 92 & ileus 91). There was no operative mortality in both groups. The comparison of patient characteristics and operative outcomes was presented in Table 1. The patient demographics, operating time, blood loss were similar between the 2 groups. When compared to the CLC group, the SPLC group had significantly lower pain score at rest on day 1 [3 (1–5) vs. 0 (0–2); p\0.01], day 2 [2 (0–4) vs. 0 (0–2); p = 0.02] after operation and shorter hospital stay [5 (4–6) vs. 4 (3–4) days; p\0.01]. There was no difference in the margins of resection. Conclusions: Single port laparoscopic colectomy is a safe procedure with low complication rate. Compared with conventional laparoscopic colectomy, single port procedure is associated with reduced wound pain in early post-operative period and shorter hospital stay.-
dc.languageengen_US
dc.publisherSpringer New York LLC. The Journal's web site is located at http://link.springer-ny.com/link/service/journals/00464/-
dc.relation.ispartofSurgical Endoscopyen_US
dc.rightsThe original publication is available at www.springerlink.com-
dc.titleComparison of single port and conventional laparoscopic colectomy: A randomized controlled trialen_US
dc.typeConference_Paperen_US
dc.identifier.emailPoon, TCJ: tcjensen@hkucc.hku.hken_US
dc.identifier.emailCheung, CW: cheucw@hku.hken_US
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_US
dc.identifier.emailFan, JKM: drjoefan@hku.hken_US
dc.identifier.authorityPoon, TCJ=rp01603en_US
dc.identifier.authorityCheung, CW=rp00244en_US
dc.identifier.authorityLaw, WL=rp00436en_US
dc.identifier.doi10.1007/s00464-012-2201-z-
dc.identifier.hkuros204035en_US
dc.identifier.hkuros201004-
dc.identifier.volume26-
dc.identifier.issuesuppl. 1-
dc.identifier.spageS187, abstract no. 38781-
dc.identifier.epageS187, abstract no. 38781-
dc.publisher.placeUnited States-

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