Article
Wound complications in transumbilical single incision laparoscopy: 1127 consecutive cases
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Published: | April 23, 2012 |
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Outline
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Introduction: Transumbilical single incision laparoscopy (SIL) was developed to decrease the abdominal wall trauma and visible scars. Beside the possible benefits one concern is a potential high risk of wound complications. We analysed wound complications in the largest SIL cohort study.
Materials and methods: A total of 1220 patients underwent SIL at the SJOG Hospital Salzburg Austria (08-2008 to 09-2011). Clinical data were prospectively collected. Patients with a follow-up of 6-36 months were enrolled in this retrospective analysis. Incisional hernia or wound infection served as primary outcome parameters. Risk factors were calculated.
Results: Analysis comprised 1127 patients (601 f/526 m) Median age was 57 (7-93)a. 101 appendecomies, 383 cholecystectomies, 388 TAPP, 152 colorectal resections, 20 fundoplications, 3 adrenalectomies, 8 gastric resections, 10 intestinal resections, 17 liver resections, 5 pancreas resections and 40 other procedures were carried out. Preexisting umbilical fascial defects were found in 471 patients. Incidence for incisional hernia and wound infection yielded 1,4% and 1,1%, respectively. Risk factors were weight, BMI (p<0,05), learning curve (p<0,005), multiport use (p<0,001), skin incision length (p<0,05).
Conclusion: Transumbilical SIL allows both, advantageous cosmesis and an acceptable risk for wound complication.