EP130 - Comparing Single-Incision versus Conventional Multiport Ileocolic Resections for Crohn’s Disease – A Single Institution Review

Saturday, May 9, 2026

3:20 PM - 3:25 PM ET

ePoster Presenter(s)

Gabrielle Prezkop, MD

USF Colon and Rectal Surgery Fellow
University of South Florida
University of South Florida
Tampa, FL, United States

Disclosure information not submitted.

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Author(s)

Taylor L. Garza, MD

Resident
University of South Florida
University of South Florida
Tampa, FL, United States

Disclosure information not submitted.
JM

Jorge Marcet, MD

Director, Division of Colon and Rectal Surgery
USF Morsani College of Medicine
Tampa, Florida, United States

Disclosure information not submitted.
CM

Carolina Martinez, MD

Assistant Professor
University of South Florida
Tampa, Florida, United States

Disclosure information not submitted.
PC

Paul Cavallaro, MD

Assistant Professor of Surgery
University of South Florida
Tampa, Florida, United States

Disclosure information not submitted.
AC

Allen P. Chudzinski, M.D.

Professor of Surgery
University of South Florida Morsani College of Medicine
Tampa, Florida, United States

Disclosure information not submitted.
Robert D. Bennett, MD

Attending Physician
University of South Florida
Tampa, Florida, United States

All disclosed relationships have been reviewed and managed prior to the start of this activity. Any relevant relationships will be listed below. This individual has no financial relationships to disclose

Purpose/Background: Crohn’s Disease (CD) is chronic, relapsing gastrointestinal disorder often complicated by fibrotic strictures, enteric fistulas, bowel obstruction and perforation, among others. Despite significant advances in medical therapy, up to 80% of individuals with CD will ultimately require surgical intervention, either due to medication failure or disease-related complications. Single incision laparoscopic surgery (SILS) has emerged as a feasible approach for ileocolic resection in CD, offering potential advantages over the conventional multiport technique. This study aims to contribute to the growing body of literature by comparing outcomes of single-incision versus multi-port ileocolic resections in this patient population.

Methods/Interventions: A retrospective chart review was conducted of all patients with CD who underwent laparoscopic or robotic ileocolic resection for any indication – including fibrotic stricture, enteric fistula, bowel obstruction, or medication failure – at a single institution between January 2015 and December 2024. Perioperative and postoperative variables were collected for patients who underwent single incision minimally invasive surgery and compared to those who underwent a conventional multiport approach, in accordance with an Institutional Review Board-approved protocol.

Results/Outcomes: Among the 139 patients, 81 patients underwent single-port resection and 58 underwent multi-port resection. There was a significant difference in Body Mass Index (BMI) among the single incision cohort (25.6 vs 23.4, p = 0.03). However, age at surgery, sex distribution, and American Society of Anesthesiologists (ASA) score were comparable among the two groups. The most common indication for surgical intervention included strictures (n=115) followed by enteric fistulas (n=27). Exposure to at least one biologic therapy was similar between groups (90.6% single incision vs. 90.2% multiport) with a predominance for Remicade (Infliximab) and Humira (Adalimumab) among single incision (n=43) and muti-port (n=27) cohorts, respectively.
Operative time (p=0.56), estimated blood loss (p=0.32), 30-day postoperative complications (p=0.57), and reoperation rates (p=0.73) showed no significant differences. Postoperative ileus (n=5) was the most frequent complication seen within the SIL group, while transfusion requirement (n=6) was most common in the multiport group. Length of stay (p=0.3), opioid consumption per day (p=0.056) and per admission (p=0.691), time to first flatus (p=0.46), and bowel movement (p=0.5) were also comparable.

Conclusion/Discussion: Comparisons of single-incision and multiport ileocolic resections for CD remain limited. This study represents the largest North American, single-institution retrospective cohort of SIL resections demonstrating comparable outcomes and rates of postoperative complications when compared to the standard multiport resection. Single-incision techniques may also offer improved patient satisfaction and cosmetic results, which will be explored in future studies.