Impact of single-port laparoscopic approach on scar assessment by patients and observers: a multicenter retrospective study
10.3393/ac.2024.00563.0080
- Author:
Sung Uk BAE
1
;
Kyeong Eui KIM
;
Chang-Woo KIM
;
Ji-Hoon KIM
;
Woon Kyung JEONG
;
Yoon-Suk LEE
;
Seong Kyu BAEK
;
Suk-Hwan LEE
;
Jun-Gi KIM
Author Information
1. Department of Surgery, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea
- Publication Type:Original Article
- From:Annals of Coloproctology
2025;41(2):154-161
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:This study aimed to compare the wound cosmesis of a single-incision approach on scar assessment after laparoscopic surgery for colon cancer.
Methods:This study included 32 patients undergoing single-port laparoscopic surgery (SPLS) and 61 patients undergoing multiport laparoscopic surgery (MPLS) for colon cancer at 3 tertiary referral hospitals between September 2011 and December 2019. We modified and applied the Korean version of the Patient and Observer Scar Assessment Scale (POSAS) to assess cosmetic outcomes. To assess the interobserver reliability using intraclass correlation coefficient values for the Observer Scar Assessment Scale (OSAS), the surgeons evaluated 5 images of postoperative scars.
Results:No significant differences were observed in the time before the return of normal bowel function, time to sips of water and soft diet initiation, length of in-hospital stay, and postoperative complication rate. The SPLS group had a shorter total incision length than the MPLS group. The POSAS favored the SPLS approach, revealing significant differences in the Patient Scar Assessment Scale (PSAS), OSAS, and overall scores. The SPLS approach was an independent factor influencing the POSAS, PSAS, and OSAS scores. Eleven colorectal surgeons had a significantly substantial intraclass coefficient.
Conclusion:The cosmetic outcomes of SPLS as assessed by the patients and surgeons were superior to those of MPLS in colon cancer. Reducing the number of ports is an independent factor affecting scar assessment by patients and observers.
