Single-incision Laparoscopic Colectomy for Colorectal Cancer: Experience of 376 Cases

Abstract

Introduction: Many previous RCTs comparing single-incision laparoscopic colectomy (SILC) with multiport laparoscopic colectomy (MPLC) have reported that there are no significant differences in the shortterm results between the two types of procedures. However, there are many procedures whose safety and reliability in SILC remain uncertain.Patients and methods: Introduction of our surgical techniques and identification and evaluation of our experience. Retrospective review of the surgical procedures and outcomes of 376 cases of SILC conducted between September 2009 and September 2020.Results: There were at total of 194 men and 182 women, and the median age was 74.0 years. Of the total, 65 patients underwent ileocecal resection, 65 patients underwent right hemicolectomy, 36 patients underwent transverse colectomy, 29 patients underwent left hemicolectomy, 52 patients underwent sigmoidectomy, 99 patients underwent high anterior res ec t ion , 2 9 pat ient s u nder went low a nt er ior resection, and 1 patient underwent abdominoperineal resection. The mean operative time was 227.5 min, and the mean operative blood loss was 5 ml.Clavien-Dindo classification Grade 3 postoperative complications were detected in 14 (3.7％) cases. Discussion: SILC is feasible in patients with colorectal cancer. In terms of the short-term outcomes, SILC is similar to MPLC. Our procedures