P423. Our experience with single incision laparoscopic surgery in inflammatory bowel disease patients
M. Marti-Gallostra1, E. Espin1, F. Vallribera1, J.L. Sanchez-García1, L.M. Jiménez-Gómez1, V. Robles2, N. Boruel2, M. Armengol-Carrasco3, 1Hospital Universitary de la Vall d'Hebron, Colorectal surgery, Barcelona, Spain, 2Hospital Universitary de la Vall d'Hebron, Gastroenterology, Barcelona, Spain, 3Hospital Universitary de la Vall d'Hebron, General and Digestive Surgery, Barcelona, Spain
To present our experience with single incision laparoscopic surgery in patients with inflammatory bowel disease.
A total of 13 cases were operated in Hospital Vall d' Hebron between February 2010 to November 2012. Surgical procedures included total colectomy with ileorectal anastomosis, ileocecal resection and restore bowel continuity with ileorectal anastomosis after an emergency total colectomy. Intraoperative and postoperative data are analyzed.
Twelve cases of thirteen were performed for Crohn's disease and one for indeterminate colitis. The mean age was 38 years (range, 26 to 49), the mean body mass index was 21.84 (range, 17.9 to 27.2), mean operative time was 152minutes (range, 90 to 310), mean blood loss was 95 mL (range, 25 to 300), mean incision length was 3.75 cm (range, 2.5 to 8). Average follow-up was 14.2 months with 2 reported postoperative complications and 2 incisional hernias.
In experienced hands, single port laparoscopic surgery appears to be feasible and safe for the surgical treatment of selected patients with IBD. However, evidence from prospective randomized trials is required in order to clarify whether there is a further benefit apart from the avoidance of additional trocar incisions.