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Research Letter | Association of VA Surgeons

Safety and Short-term Outcomes of a Single-Port Laparoscopic Approach to Colorectal Surgery

Rachel M. Danforth, MD1; M. Francesca Monn, MD2; Leigh J. Spera, MD1; Alyssa D. Fajardo, MD1; Virgilio V. George, MD1,3
[+] Author Affiliations
1Department of Surgery, Indiana University School of Medicine, Indianapolis
2Department of Urology, Indiana University School of Medicine, Indianapolis
3Department of Surgery, Richard L. Roudebush VA Medical Center, Indianapolis, Indiana
JAMA Surg. 2015;150(12):1195-1197. doi:10.1001/jamasurg.2015.2409.
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This study hypothesizes that safe and reasonable outcomes can be achieved when single-port laparoscopy is used before a right hemicolectomy for obese patients.

Recent literature has established that single-port laparoscopy (SPL) is a feasible alternative to the traditional multiport laparoscopic approach for colorectal surgery.13 Multiport laparoscopy has been demonstrated to be safe for obese patients4; however, there is a lack of experience with and data on the use of SPL for obese patients. We hypothesize that safe and reasonable outcomes can be achieved when SPL is used before a right hemicolectomy for obese patients (ie, those patients with a body mass index [BMI] ≥30 [calculated as weight in kilograms divided by height in meters squared]).

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