Single Port Laparoscopic Surgery Versus Conventional Laparoscopic Surgery, Comparative Study

Background: Conventional multiport laparoscopic colectomy has proven to be an effective and safe procedure in expert hands. Aiming at further decrease in surgical trauma and to improve the overall outcomes, Single Incision Laparoscopic Surgery (SILS) has emerged in the field of colorectal surgery. Patients and Methods: This prospective randomized controlled trial was conducted on 34 patients in the period from Feb. 2011 to Feb. 2013 in Colorectal Unit, Kasr Al-Ainy Hospitals, Cairo University. Patients were allocated into either Group A who were operated upon using conventional laparoscopy, or Group B in which SILS was used. Demographic data, operative and post operative results were assessed and compared in both groups. Results: There were significant differences in operative time and post operative pain in the favor of SILS colectomy with p-value of 0.0001 and 0.009 respectively. There were no significant differences between the two groups as regards rate of conversion to open, wound infection, length of hospital stay, post-operative mortality, safety margins and number of lymph nodes extracted. Conclusion: SILS colectomy is feasible when preformed by experts in laparoscopic surgery and can be used as a substitute to the conventional multiport laparoscopy.