Single-incision laparoscopic surgery to treat hepatopancreatobiliary cancer: A technical review

Chuang, Shu‐Hung; Chuang, Shih-Chang

doi:10.3748/wjg.v28.i27.3359

Cited by 6 publications

(4 citation statements)

References 57 publications

(40 reference statements)

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“…Additionally, laparoscopic surgery provides a clearer surgical field of view, facilitating the surgeon's assessment of the patient's visceral peritoneum, mesentery and other tissues. It also allows for more precise approach selection, reducing unnecessary tissue damage and thus preserving patients' postoperative sexual function while lowering the risk of postoperative complications [18]. In this study, we observed that using SILS + 1 for the treatment of sigmoid colon cancer resulted in postoperative urinary function, sexual function, and complication rates similar to those achieved with CLS, thereby highlighting the safety and feasibility of SILS + 1.…”

Section: Discussionsupporting

confidence: 54%

Analysis of short-term outcome indicators and risk factors for postoperative complications in patients with sigmoid colon cancer by transumbilical single-port plus one port laparoscopy

2024

Journal of Men's Health

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This study aimed to compare the efficacy of Single-Port plus One Port Laparoscopy (SILS + 1) with Conventional Multi-Port Laparoscopic Surgery (CLS) and investigate risk factors associated with postoperative complications in patients with sigmoid colon cancer undergoing laparoscopy. Male patients with sigmoid colon cancer treated at our hospital were selected and evenly distributed into the CLS and SILS + 1 groups and further categorized into complication and non-complication groups based on their complications status within 30 days post-surgery. Compared to the CLS group, the SILS+ 1 group had significantly shorter incision length, greater distance to the lower edge of the tumor and shorter time to first postoperative ambulation (p < 0.05). A total of 20 cases (16.67%) developed complications within 30 days post-surgery, and among them, 8 (13.33%) were in the SILS + 1 group and 12 (20.00%) in the CLS group (p = 0.327). Logistic multivariable regression analysis showed that age (p = 0.028; Odds Ratio (OR) = 1.028; 95% confidence interval (CI): 1.003–1.054), body mass index (BMI)(p = 0.002; OR = 1.950; 95% CI: 1.248–2.961) and operation time (p < 0.001; OR = 1.067; 95% CI: 1.030–1.106) were independent risk factors for complication occurrence within 30 days post-surgery, and at 2-year follow-up, there was no significant difference in overall survival between both groups (p > 0.05). In conclusion, age, BMI and duration of surgery were identified as independent risk factors for postoperative complications in male sigmoid colon cancer patients, among whom SILS + 1 was found to reduce postoperative discomfort and accelerate recovery compared to CLS while maintaining surgical efficacy.

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Section: Discussionsupporting

confidence: 54%

Analysis of short-term outcome indicators and risk factors for postoperative complications in patients with sigmoid colon cancer by transumbilical single-port plus one port laparoscopy

2024

Journal of Men's Health

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“…With the development of technology, at present, the LAP has been applied to tumors in the entire liver are, and has become one of the standard treatments for resection of the right anterior and left lateral lobes. A large number of studies have confirmed the safety and feasibility of LAP (36,37). Compared with OPEN, LAP has the advantages of aesthetics, less blood transfusion, less tissue damage, less patient pain, and shorter hospital stay.…”

Section: Discussionmentioning

confidence: 99%

Effect of various hepatectomy procedures on circulating tumor cells in postoperative patients: a case-matched comparative study

Lei,

Wang,

Tian

et al. 2023

Front. Med.

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BackgroundThe objective of this study is to elucidate the prevalence of systemic circulating tumor cells (CTCs) prior to and following resection of hepatocellular carcinoma (HCC), and to compare the disparities in postoperative CTCs in terms of quantity and classifications between the open liver resection (OPEN) and laparoscopic liver resection (LAP) cohorts.Patients, materials, and methodsFrom September 2015 to May 2022, 32 consecutive HCC patients who underwent laparoscopic liver resection at Southwest Hospital were retrospectively enrolled in this study. The clinicopathological data were retrieved from a prospectively collected computer database. Patients in the OPEN group matched at a 1:1 ratio with patients who underwent open liver resection during the study period on age, gender, tumor size, number of tumors, tumor location, hepatitis B surface antigen (HBsAg) positivity, alpha-fetoprotein (AFP) level, TNM and Child-Pugh staging from the database of patients to form the control group. The Can-Patrol CTC enrichment technique was used to enrich and classify CTCS based on epithelial-mesenchymal transformation phenotypes. The endpoint was disease-free survival (DFS), and the Kaplan–Meier method and multiple Cox proportional risk model were used to analyze the influence of clinicopathological factors such as total CTCs and CTC phenotype on prognosis.ResultsThe mean age of the 64 patients with primary liver cancer was 52.92 years (23–71), and 89.1% were male. The postoperative CTC clearance rate was more significant in the OPEN group. The total residual CTC and phenotypic CTC of the LAP group were significantly higher than those of the OPEN group (p = 0.017, 0.012, 0.049, and 0.030, respectively), which may increase the possibility of metastasis (p = 0.042). In Kaplan–Meier analysis, DFS was associated with several clinicopathological risk factors, including Barcelona Clinical Liver Cancer (BCLC) stage, tumor size, and vascular invasion. Of these analyses, BCLC Stage [p = 0.043, HR (95% CI) =2.03(1.022–4.034)], AFP [p = 0.007, HR (95% CI) =1.947 (1.238–3.062)], the number of positive CTCs [p = 0.004, HR (95% CI) =9.607 (2.085–44.269)] and vascular invasion [p = 0.046, HR (95% CI) =0.475 (0.22–1.023)] were significantly associated with DFS.ConclusionIn comparison to conventional OPEN technology, LAP technology has the capacity to augment the quantity of epithelial, mixed, and mesenchymal circulating tumor cells (CTCs). Following the surgical procedure, there was a notable increase in the total CTCs, epithelial CTCs, and mixed CTCs within the LAP group, indicating a potential drawback of LAP in facilitating the release of CTCs.

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“…Due to the widespread application of laparoscopic liver resection, the International Laparoscopic Liver Society was formed in 2016 by a group of experts[ 31 ]. Single-incision and robot-assisted technology are also available for minimally invasive liver surgery[ 32 , 33 ]. Additionally, laparoscopic techniques have achieved great success in the treatment of adrenal, prostate, and rectal diseases, among others[ 34 - 36 ].…”

Section: Application Of Laparoscopic Technique In Surgerymentioning

confidence: 99%

Application of laparoscopic surgery in gallbladder carcinoma

Wu¹,

Li²,

Zheng³

2023

World J Clin Cases

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Gallbladder carcinoma (GC) is a rare type of cancer of the digestive system, with an incidence that varies by region. Surgery plays a primary role in the comprehensive treatment of GC and is the only known cure. Compared with traditional open surgery, laparoscopic surgery has the advantages of convenient operation and magnified field of view. Laparoscopic surgery has been successful in many fields, including gastrointestinal medicine and gynecology. The gallbladder was one of the first organs to be treated by laparoscopic surgery, and laparoscopic cholecystectomy has become the gold standard surgical treatment for benign gallbladder diseases. However, the safety and feasibility of laparoscopic surgery for patients with GC remain controversial. Over the past several decades, research has focused on laparoscopic surgery for GC. The disadvantages of laparoscopic surgery include a high incidence of gallbladder perforation, possible port site metastasis, and potential tumor seeding. The advantages of laparoscopic surgery include less intraoperative blood loss, shorter postoperative hospital stay, and fewer complications. Nevertheless, studies have provided contrasting conclusions over time. In general, recent research has tended to support laparoscopic surgery. However, the application of laparoscopic surgery in GC is still in the exploratory stage. Here, we provide an overview of previous studies, with the aim of introducing the application of laparoscopy in GC.

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Single-incision laparoscopic surgery to treat hepatopancreatobiliary cancer: A technical review

Cited by 6 publications

References 57 publications

Analysis of short-term outcome indicators and risk factors for postoperative complications in patients with sigmoid colon cancer by transumbilical single-port plus one port laparoscopy

Analysis of short-term outcome indicators and risk factors for postoperative complications in patients with sigmoid colon cancer by transumbilical single-port plus one port laparoscopy

Effect of various hepatectomy procedures on circulating tumor cells in postoperative patients: a case-matched comparative study

Application of laparoscopic surgery in gallbladder carcinoma

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