Repeat Single Incision Laparoscopic Surgery after Primary Single Incision Laparoscopic Surgery for Colorectal Disease.
10.7602/jmis.2018.21.1.38
- Author:
Sun Hye KIM
1
;
Seong Hyeon YUN
;
Yoon Ah PARK
;
Yong Beom CHO
;
Hee Cheol KIM
;
Woo Yong LEE
Author Information
1. Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. shyunmd@gmail.com
- Publication Type:Original Article
- Keywords:
Minimally invasive surgical procedures;
Single-incision laparoscopic surgery;
Repeat operation;
Colorectal surgery
- MeSH:
Anastomotic Leak;
Colorectal Surgery;
Humans;
Korea;
Laparoscopy*;
Length of Stay;
Minimally Invasive Surgical Procedures;
Mortality;
Operative Time;
Prospective Studies;
Reoperation;
Retrospective Studies;
Seoul
- From:Journal of Minimally Invasive Surgery
2018;21(1):38-42
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Single-incision laparoscopic surgery (SILS) for colorectal surgery is widely performed for many disease entities. However, there are few reports about the role of repeat single-incision laparoscopic surgery (R-SILS). The aim of this study is to analyze R-SILS data to evaluate the feasibility and safety of the occurrence and review its outcomes. METHODS: This is a retrospective review of the prospectively collected SILS database in Samsung Medical Center, Seoul, Korea, between April 2009 and December 2015. A retrospective review of 38 patients who underwent R-SILS from 2,207 patients who underwent primary SILS for colorectal surgery was performed. RESULTS: The indications of R-SILS were 23 primary SILS-related complications, 10 cancer-related, and 5 other surgical indications. Of the 38 repeat surgeries, 24 were emergent operations, and 14 were elective operations. Fecal diversion for anastomotic leakage after rectal surgery was the most common reason for reoperation. There were 2 cases of conversions: one case was converted to conventional multi-port, and the other case was converted to open surgery. Mean operative time was 137.9±64.1 min, estimated blood loss (EBL) was 105±98 ml, and length of hospital stay was 10.1±8.1 days. Post-operative complication was noted in 5 (13.2%) of 38 R-SILS cases, and there was no 30-day postoperative mortality. CONCLUSION: Repeat single-incision laparoscopy surgery is feasible and safe in select patients when performed by an experienced surgeon.
