Single-incision laparoscopic colectomy for malignant disease

Abstract

SIL-C can be used safely in selected colon cancer patients with no difference in blood loss, OR time, or lymph node retrieval. SIL-C patients may have a shorter LOS.

Single-incision laparoscopic surgery for colorectal cancer

“…The literature search identified one randomized contro lled trial and 13 cased-matched control or comparative studies [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] . In total, 1559 colorectal resections were included, 589 by SILC and 970 by CLC.…”

Single-Incision Laparoscopic Surgeries for Colorectal Diseases: Early Experiences of a Novel Surgical Method

“…All margins were free of cancer in these series. In 18 studies with available data, the range of number of removed lymph nodes for malignant cases and potential malignant diseases was 12–24.6 (Table 4) [19, 20, 22–25, 27, 28, 30–39]. …”

“…A total of 9 comparative studies [19, 22, 24, 27, 30, 31, 33, 35, 36] including 6 case-matched studies [22, 24, 27, 31, 33, 36] between SILC and other minimally invasive procedures are summarized in Tables 5 and 6. Ramos-Valadez et al, in their case-matched series (SILC versus LAC group), reported that mean estimated blood loss was significantly lower for the SILC group ( n = 20) compared to the LAC group ( n = 20) (58 versus 99 mL, P < 0.007) [22].…”

“…28 publications were selected for review of full text, and 4 studies with no relevant data and 3 review articles were excluded from our paper. Twenty-one studies [19–39] with a total of 477 patients undergoing SILC met the criteria for analysis providing level 2–4 evidence (Table 1). There were one multi-institutional study and a total of 9 comparative studies including 6 case-matched ones between SILC and other minimally invasive procedures.…”

Single-Port Total Abdominal Colectomy for Colon Cancer

“…A cohort study of 73 patients by McNally et al 14 in 2011 concluded that SILC can be used safely in selected colon cancer patients with no difference in blood loss, operating room time, or lymph node retrieval. A similar study by Egi et al 15 comparing surgical outcomes for colon cancer showed no significant differences regarding the perioperative and oncologic results between SILC and MLC.…”