Multidimensional analyses of the learning curve for single‐incision plus one port laparoscopic surgery for sigmoid colon and upper rectal cancer

Li, Junmeng; Wang, Yanan; Liu, Dong; Zhou, Huixia; Mou, Tingyu; Li, Guoxin; Deng, Haijun

doi:10.1002/jso.25029

Cited by 9 publications

(3 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Kim et al reported that the learning curve of SPS for sigmoid colon cancer was 61-65 cases according to multidimensional statistical analyses (16). Li et al reported that the experienced MPS surgeons achieved the technical competence after the 44th case of SPS plus one port in patients with sigmoid colon cancer and upper rectal cancer (17). SPS for rectal cancer is technically more challenging and require more cases for proficiency, and we consider this result is likely little of statistical significance.…”

Section: Discussionmentioning

confidence: 88%

Systematic review of single‑port vs. multi‑port surgery for rectal cancer

et al. 2020

View full text Add to dashboard Cite

The aim of the current systematic review was to compare the short-term clinical and oncological outcomes of single-port surgery (SPS) to multi-port surgery (MPS) for rectal cancer in MEDLINE, PubMed and Cochrane Library from January 2010 to December 2018. A total of 5 clinical controlled studies composed one randomized pilot study and four non-randomized studies with a total of 461 patients were analyzed after a systematic review. A total of 125 patients (27.1%) underwent SPS and 336 patients (72.9%) underwent MPS for rectal cancer. The rate of conversion to open surgery was lower in the SPS group compared with the MPS group (0.8 vs. 5.4%, respectively). A total of 16.8% of patients in the SPS group required an additional port to complete the operation. The morbidity rate was lower in the SPS group compared with the MPS group (28.0 vs. 39.0%, respectively). The other short-term clinical outcomes were similar in both groups. The R0 resection rate was 99.0% in the SPS group and 98.7% in the MPS group. The oncological clearance was satisfactory and similar in both groups. The current study concluded that SPS can be performed safely and provide satisfactory oncological outcomes in patients with rectal cancer. However, further studies are required to determine the role of SPS in the long-term clinical and oncological outcomes.

show abstract

Section: Discussionmentioning

confidence: 88%

Systematic review of single‑port vs. multi‑port surgery for rectal cancer

et al. 2020

View full text Add to dashboard Cite

show abstract

“…We attempted to perform SILS + 1 since 2012 [ 22 ], after the learning curve was overcome in 2014 [ 24 ]. Between January, 2015 and December 2018, 2257 consecutive colorectal cancer patients received curative laparoscopic surgery (SILS + 1 or CLS) in the Dept.…”

Section: Methodsmentioning

confidence: 99%

“…Surgeries were performed by surgeons who had completed over 200 successful CLS cases and 50 SILS + 1 cases after passing the SILS + 1 learning curve, with regard to our previous study [ 24 ]. Two surgeons participated in the study.…”

Section: Methodsmentioning

confidence: 99%

Short-term and long-term outcomes of single-incision plus one-port laparoscopic surgery for colorectal cancer: a propensity-matched cohort study with conventional laparoscopic surgery

Wu,

Wang,

Zhang

et al. 2023

BMC Gastroenterol

Self Cite

View full text Add to dashboard Cite

Background Single-incision plus one-port laparoscopic surgery (SILS + 1) has been demonstrated to be minimally invasive while possessing better cosmesis and less pain compared with conventional laparoscopic surgery (CLS). However, SILS + 1 as an alternative to CLS for colorectal cancer is still controversial. Methods A total of 1071 patients who underwent curative laparoscopic surgery for colon cancer between 2015 and 2018 were included. Of these patients, 258 SILS + 1 cases and 516 CLS cases were analyzed using propensity score matching. The baseline characteristics, surgical outcomes, pathologic findings and recovery course, morbidity and mortality within postoperative 30 days and 3-year disease-free and overall survival were compared. Results Baseline characteristics were balanced between the groups. The mean operating time was significantly shorter in SILS + 1 group, with less estimated blood loss. Tumor size, tumor differentiation, number of harvested lymph nodes, resection margin and pathologic T, N, TNM stage was similar between the groups. There was no significant difference in overall perioperative complications. Uni- and multivariate analyses revealed that SILS + 1 was not a risk factor for complications. Postoperatively, SILS + 1 group showed faster recovery than CLS group in terms of ambulation, bowel function, oral intake and discharge. The 3-year disease-free survival rates of SILS + 1 and CLS groups were 90.1% and 87.3%(p = 0.59), respectively and the 3-year overall survival rates were 93.3% vs. 89.8%(p = 0.172). Discussion Our study revealed that SILS + 1 is safe, feasible, oncologically efficient, and may be considered as a surgical option for selected patients with colorectal cancer.

show abstract

Single-incision versus conventional multiport laparoscopic surgery for colorectal cancer: a meta-analysis of randomized controlled trials and propensity-score matched studies

Zhang

et al. 2021

Int J Colorectal Dis

View full text Add to dashboard Cite

Multidimensional analyses of the learning curve for single‐incision plus one port laparoscopic surgery for sigmoid colon and upper rectal cancer

Abstract: For experienced CLS surgeons, the learning process reached the plateau period after the 13th case, and technical competence was achieved after the 44th case.

Cited by 9 publications

References 31 publications

Systematic review of single‑port vs. multi‑port surgery for rectal cancer

Systematic review of single‑port vs. multi‑port surgery for rectal cancer

Short-term and long-term outcomes of single-incision plus one-port laparoscopic surgery for colorectal cancer: a propensity-matched cohort study with conventional laparoscopic surgery

Single-incision versus conventional multiport laparoscopic surgery for colorectal cancer: a meta-analysis of randomized controlled trials and propensity-score matched studies

Contact Info

Product

Resources

About