Abstract
Purpose: Single-incision laparoscopic surgery for pediatric colorectal disease has been shown to be feasible and safe; however, the literature is scarce regarding the outcomes of single-incision laparoscopic total abdominal colectomy (SIL-TAC) in the pediatric population. The purpose of this pilot study was to review our initial experience and outcomes with SIL-TAC. Materials and Methods: A retrospective review of patients who underwent SIL-TAC from 2013 to 2015 was performed. General demographic and outcome data were analyzed. Results: Five patients were included. Indications included ulcerative colitis (n = 4) and colonic dysmotility (n = 1). The median age was 13.5 years (8.5-19.4 years) and the median body mass index (BMI) percentile was 77.4 (2.2-98). The median operative time was 182 minutes (163-244 minutes). One case was converted to an open procedure. The median postoperative self-reported pain score was 2.8 (1.2-4.5). The median time until initiation of a diet was 2 days (1-8 days). The median length of hospital stay was 5 days (3-11 days). There were no 30-day complications. Conclusion: SIL-TAC is feasible and safe in children and offers improved cosmesis.
Original language | English (US) |
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Pages (from-to) | 556-558 |
Number of pages | 3 |
Journal | Journal of Laparoendoscopic and Advanced Surgical Techniques |
Volume | 27 |
Issue number | 5 |
DOIs | |
State | Published - May 2017 |
Externally published | Yes |
Keywords
- Colorectal
- Minimally invasive
- Pediatric surgery
- Single incision
ASJC Scopus subject areas
- Surgery