ECSPECT prospective multicentre registry for single‐port laparoscopic colorectal procedures

Background The international multicentre registry ECSPECT (European Consensus of Single Port Expertise in Colorectal Treatment) was established to evaluate the general feasibility and safety of single‐port colorectal surgery with regard to preoperative risk assessment. Methods Consecutive patients u...

Full description

Saved in:
Bibliographic Details
Published in:British journal of surgery 2017-01, Vol.104 (1), p.128-137
Main Authors: Weiss, H., Zorron, R., Vestweber, K.‐H., Vestweber, B., Boni, L., Brunner, W., Sietses, C., Morales Conde, S., Bulut, O., Gash, K., Dixon, A. R., Mittermair, C., Klaus, A., Stanger, O., Weiss, M., Muratore, A., Hell, T., Brunner, E., Schirnhofer, J., Pimpl, K., Obrist, C., Junghans, T., Rink, A., Straub, E., Giehl, J., Cassionotti, E., Widmann, B., Bischofberger, S., Kalak, N., Socas, M., Alarcón, I., Barranco, A., Prunner, U., Haunold, I., Fink, M., Marsanic, P.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Colon - surgery
Colonic Diseases - mortality
Colonic Diseases - surgery
Colorectal surgery
Conversion to Open Surgery - statistics & numerical data
Europe - epidemiology
Feasibility Studies
Female
Humans
Laparoscopy - methods
Male
Middle Aged
Patients
Postoperative Complications - epidemiology
Prospective Studies
Rectal Diseases - mortality
Rectal Diseases - surgery
Rectum - surgery
Registries
Sex Factors
Young Adult
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background The international multicentre registry ECSPECT (European Consensus of Single Port Expertise in Colorectal Treatment) was established to evaluate the general feasibility and safety of single‐port colorectal surgery with regard to preoperative risk assessment. Methods Consecutive patients undergoing single‐port colorectal surgery were enrolled from 11 European centres between March 2010 and March 2014. Data were analysed to assess patient‐, technique‐ and procedure‐dependent parameters. A validated sex‐adjusted risk chart was developed for prediction of single‐port colorectal surgery‐related conversion and complications. Results Some 1769 patients were enrolled, 937 with benign and 832 with malignant conditions. Procedures were completed without additional trocars in 1628 patients (92·0 per cent). Conversion to open surgery was required in 75 patients (4·2 per cent) and was related to male sex and ASA fitness grade exceeding I. Conversions were more frequent in pelvic procedures involving the rectum compared with abdominal procedures (8·1 versus 3·2 per cent; odds ratio 2·69, P
ISSN:0007-1323
1365-2168
DOI:10.1002/bjs.10315