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