Single access laparoscopic total colectomy for severe refractory ulcerative colitis

Table 3 Postoperative complications after laparoscopic total colectomy and end ileostomy presented for groups by how operation was commenced as per Clavian-Dindo (contracted form)

Complication grade	Definition by Clavien-Dindo	Single port group (n = 27)		Multiport group (n = 12)
First 30 d		n	Comment	n	Comment
I	Any deviation from postop course without intervention	3	Serous discharge from around stoma site (all patients albumin < 30)	3	Persistent pneumoperitoneum with pain; Non-cardiac chest pain, high output stoma
II	Pharmacological treatment	2	Parastomal wound infection; Portal vein thrombosis treated by anticoagulation diagnoses after discharge	2	Parastomal wound infection; Umbilical port infection (pt started single port, converted due to adhesions); Portal vein thrombosis treated by anticoagulation (CT diagnosis on day 2 postop in patient begun multiport and converted to open due to extreme colonic friability)
III	Surgical, endoscopic or radiological intervention	1	Return to theatre on day 4 postop for fascial release for oedematous stoma (pt with preop Alb < 30)	2	Radiological drain of intrabdominal collection in one patient started by single port but converted to multiport laparoscopy and in another started by multiport but converted to open (retroperitoneal colon perforations found at surgery)
IV/V	Life-threatening complication/Death	0	-	0	-
After 30 d			Median follow-up 12.3 mo		Median follow-up 10.5 mo
I		0	-	1	Parastomal hernia
III		2	Both parastomal hernia requiring repair. (One performed at time of complection proctectomy, other requiring urgent laparoscopic repair)

Alb: Albumin; Preop: Preoperative; CT: Computed tomography; pt: Pharmacological treatment.