A historical comparison of single incision and conventional multiport laparoscopic right hemicolectomy

Keshava, Anil; Young, Christopher J.; Richardson, G. L.; De-loyde, Katie

doi:10.1111/codi.12380

Cited by 19 publications

(3 citation statements)

References 18 publications

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“…Waters et al [20] reported a single death caused by substantial intra-operative bleeding. A single death also occurred in the study from Velthuis et al [27], caused by patient's significant comorbidities, while Keshava et al [32] also reported on a single perioperative death caused by neutropenic sepsis. Haas et al [31] also reported on a single death on the third postoperative day, caused by respiratory failure in the setting of pulmonary metastasis.…”

Section: Postoperative Outcomesmentioning

confidence: 83%

Single-Incision Laparoscopic Right Hemi-Colectomy: a Systematic Review

Αποστόλου

Orfanos²,

Papalois

et al. 2015

Indian J Surg

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As surgeons became more adept with laparoscopic colon surgery, other less invasive procedures, such as singleincision laparoscopic right hemi-colectomy (SIL-RH), have been applied. The objective of this study was to evaluate the safety of SIL-RH as well as its intraoperative and postoperative outcomes for right-sided colon diseases. A detailed search in PubMed for citations that included SIL-RH from 2000 to 2014 revealed 21 studies fulfilling the criteria of the present review. A total of 684 patients were analyzed. Of the patients, 50.2 % were men. Mean patient age was 64.8 years. Of the patients, 36.1 % had already undergone an abdominal operation before the performance of SIL-RH, while 69 % of the patients underwent SIL-RH for colon cancer. Relatively low rates of overall morbidity (15 %) and mortality (0.75 %) were reported in the included studies. Mean length of postoperative hospital stay (LOS) was 5.5 days. Bowel motility return had a mean value of 2.8 days. Mean number of harvested lymph nodes (LN) was 19.2 LN. All resection margins were tumorfree. SIL-RH was a safe alternative to multiport laparoscopic right hemi-colectomy (ML-RH) in terms of morbidity and mortality, postoperative gastrointestinal function recovery, LOS, as well as oncological radicalness.

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Section: Postoperative Outcomesmentioning

confidence: 83%

Single-Incision Laparoscopic Right Hemi-Colectomy: a Systematic Review

Αποστόλου

Orfanos²,

Papalois

et al. 2015

Indian J Surg

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“…Hand-assisted laparoscopic surgery does reduce the operating time, has reduced conversion rates and reduces the hazards of prolonged anaesthesia, hence should be in the armamentarium of surgeons [11] . Single port laparoscopic surgery (SPLS) is an attractive modification, although more data is required to prove its superiority over other techniques [12] . Limited data is available on the robotic -assisted dissection of rectum for IBD.…”

Section: Current Evidencesmentioning

confidence: 99%

Minimally invasive surgery for inflammatory bowel disease: Current perspectives

Shrestha

2016

WJGPT

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“…Single-incision laparoscopic surgery is used for right-sided colon cancer. In a study comparing this technique with multiport laparoscopic resections for right hemicolectomy proved that the first technique is a safe approach in this type of colectomy, resulting in a smaller extraction orifice and shorter hospital stay [26]. The safety and efficacy of single-incision laparoscopic resection in stage IV colorectal cancer patients was assessed in a study and the results showed no significant differences in intra-and postoperative complications, 30day mortality rate, total lymph nodes, and postoperative hospital stay compared to the control group [27].…”

Section: Classification Of Laparoscopic Techniquesmentioning

confidence: 99%

Role of Minimally Invasive Surgery in Colon Cancer

Todosi¹,

Gavrilescu²,

Scripcariu³

2014

Surgery

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Colon cancer is a major public health problem. The treatment of colon cancer is primarily surgical using open and minimally invasive techniques. Minimally invasive surgery approaches for colon cancer include single-port laparoscopy, natural orifice transluminal endoscopic surgery, and robotic-assisted laparoscopic surgery. The techniques are based on the same principles: complete mesocolic excision, high vascular ligation, and extended lymphadenectomy. Laparoscopic surgery is characterized by short hospital stay, reduced postoperative pain, and less need for painkillers. Laparoscopic resections are less expensive than open surgery, but with similar quality of life outcomes. Robotic surgery is an alternative to open and laparoscopic techniques. This type of surgery results in a lower conversion rate and a shorter learning curve than laparoscopic surgery. When comparing the clinical outcomes of laparoscopic surgery versus open surgery no difference in disease free survival and overall survival were found. This article shows the role of minimally invasive surgery in colon cancer, the clinical outcomes of laparoscopic and open colon being similar.

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A historical comparison of single incision and conventional multiport laparoscopic right hemicolectomy

Abstract: SILS offers a safe minimally invasive approach to right colon resection. In our series SILS patients had a shorter extraction wound size and shorter length of stay in hospital.

Cited by 19 publications

References 18 publications

Single-Incision Laparoscopic Right Hemi-Colectomy: a Systematic Review

Single-Incision Laparoscopic Right Hemi-Colectomy: a Systematic Review

Minimally invasive surgery for inflammatory bowel disease: Current perspectives

Role of Minimally Invasive Surgery in Colon Cancer

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