Abstract
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.
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