EP605 - Single Incision Laparoscopic Surgery for Complicated Right-sided Colonic Diverticulum: Is It a Feasible Alternative to Conventional Laparoscopic Surgery?
Associate professor Chungbuk National University College of Medicine, Chungbuk National University Hospital. Chungbuk National University Cheongju-si, Ch'ungch'ong-bukto, Republic of Korea
Purpose/Background: This study compared the feasibility and safety of single incision laparoscopic surgery (SILS) with conventional laparoscopic surgery (CLS) for complicated right-sided colonic diverticulitis.
Methods/Interventions: We retrospectively analyzed 47 patients who underwent laparoscopic right hemicolectomy (SILS=23, CLS=24) between 2011 and 2024. Patient demographics, operative outcomes, and postoperative recovery parameters were compared between the groups.
Results/Outcomes: The SILS group showed shorter operative time (79.13 vs 111.25 minutes, p=0.002) and hospital stay (7.13 vs 9.42 days, p=0.019). Postoperative pain scores and overall complication rates (13.0% vs 12.5%, p=0.969) were comparable between groups. However, the SILS group had lower BMI and fewer emergency operations.
Conclusion/Discussion: SILS appears to be a feasible and safe alternative to CLS in selected patients with complicated right-sided colonic diverticulitis, offering potential advantages in operative time and recovery.
