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We recently reviewed our results for the last 34 patients undergoing colectomy via a bandaid approach. Here are our results:

Demographics:
Of these 34 patients, the median age was 70 (range 46-84). In addition to being older, these patients had significant complexity with 29% being obese (BMI>30) and 26% having had prior abdominal surgery for other reasons. Eighteen patients underwent bandaid surgery for a benign colonic polyp, thirteen for colon cancer, one for lymphoma, one for Crohns disease and one patient for an acute intestinal bleed secondary to diverticulosis

Operative Data:
Despite significant obesity and prior operations, all 34 patients successfully underwent bandaid surgery with 26 undergoing a totally laparoscopic right hemicolectomy, 5 undergoing a totally laparoscopic left hemicolectomy, and 3 undergoing a totally laparoscopic sigmoid colectomy. The median operative time was 3 hours and 45 minutes with operative time as low as 2 hours for non-obese patients with no prior abdominal surgery.

Surgical Outcomes:
For all patients the median longest incision length was 1.6 inches (range of 1 to 2.2 inches). The return of gastrointestinal function (median) was 4 days. The length of hospital stay (median) was 5 days with 47% of patients home in 72 hours. There were no reoperations nor operative mortalities. There were 6 minor complications and 1 major complication (infected ascites in a patient with advanced colon cancer) with good outcome in all patients. All patients reported a high degree of satisfaction on follow-up with early return to work and normal activities.

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