Uniportal approach in colorectal surgery

ABSTRACT

Introduction: Uniportal colorectal surgery as an upgrade of laparoscopy belongs to advanced surgical procedures and is not yet widespread. Against the fact, that this method is in the world fully accepted in the therapy of benign and also malign diseases of colon Slovakia suffers from lack of daily application. Material and methods: We have combined analysis, for years 2018 and 2019 we have used retrospective analysis and the year 2020 we collected the data prospectively. We an analysis of patients operated trough a single incision and we did an evaluation of functional and also of cosmetical result. Results: In the observed time period we have operated on 104 patients. The patient’s pool is divided into two parts. Part one is a retrospective analysis of yeas 2018 and 2019. Part two is just a year 2020, in this part, are included relatively few patients because of COVID plaque was the number of operated patients radically decimated and also benign/malign ratio does not respond to long time statistic. Just one patient had a major complication and had to be acutely operated on. In 6 months follow up were all patients satisfied with the cosmetic result. Conclusion: Uniportal approach in colorectal surgery is considered a safe and precise method with fully comparable oncological outcome to other methods. According to our analysis the single incision does not have massive handicaps in comparing to conventional laparoscopy but has an expressive advantage in a decrease of parietal trauma © 2021. Lekarsky Obzor.All Rights Reserved.