Single-Incision Laparoscopy Could Be Better than Standard Laparoscopy in Right Colectomy for Cancer

Chouillard, Élie; Al-Sabah, Suleiman; Daher, Ronald; Younan, Antoine; Greco, Vincenzo J.; Chahine, Elias; Abdullah, Bassam; Biagini, Jean

doi:10.1089/lap.2015.0231

Cited by 13 publications

(5 citation statements)

References 50 publications

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“…Result showed that SIRC is feasible and sure for patients with colon cancer. As compared with SLRC, SIRC may offer some advantages, including lower operative morbidity, shorter hospital stay, and better cosmoses, without compromising the oncological quality of the resected specimen (35). A laparoscopic single-incision technique that is minimally invasive without requiring intracorporeal anastomosis was presented.…”

Section: Resultsmentioning

confidence: 99%

Single-incision laparoscopy surgery: a systematic review

Far¹,

Miraj²

2016

Electron physician

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BackgroundLaparoscopic surgery is a modern surgical technique in which operations are performed far from their location through small incisions elsewhere in the body.ObjectiveThis systematic review is aimed to overview single-incision laparoscopy surgery.MethodsThis systematic review was carried out by searching studies in PubMed, Medline, Web of Science, and IranMedex databases. The initial search strategy identified about 87 references. In this study, 54 studies were accepted for further screening and met all our inclusion criteria [in English, full text, therapeutic effects of single-incision laparoscopy surgery and dated mainly from the year 1990 to 2016]. The search terms were “single-incision,” “surgery,” and “laparoscopy.”ResultsSingle-incision laparoscopy surgery is widely used for surgical operations in cholecystectomy, sleeve gastrectomy, cholecystoduodenostomy, hepatobiliary disease, colon cancer, obesity, appendectomy, liver surgery, rectosigmoid cancer, vaginal hysterectomy, vaginoplasty, colorectal lung metastases, pyloroplasty, endoscopic surgery, hernia repair, nephrectomy, rectal cancer, colectomy and uterus-preserving repair, bile duct exploration, ileo-ileal resection, lymphadenectomy, incarcerated inguinal hernia, anastomosis, congenital anomaly, colectomy for cancer.ConclusionBased on the findings, single-incision laparoscopy surgery is a scarless surgery with minimal access. Although it possesses lots of benefits, including less incisional pain and scars, cosmesis, and the ability to convert to standard multiport laparoscopic surgery, it has some disadvantages, for example, less freedom of movement, fewer number of ports that can be used, and the proximity of the instruments to each other during the operation.

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Section: Resultsmentioning

confidence: 99%

Single-incision laparoscopy surgery: a systematic review

Far¹,

Miraj²

2016

Electron physician

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“…Previous studies have reported unexpected open conversion in SILS surgery, ranging from 1.4% to 9.5% 9,20,30,31 and insertion of an additional port ranging from 6.3% to 27.8% 18,32,33 . Conversion to open surgery is reported to increase postoperative complications, which results in longer hospital stays 34 .…”

Section: Discussionmentioning

confidence: 99%

Short‐ and long‐term outcomes of single‐incision laparoscopic surgery for right colon cancer: A multicenter propensity score‐matched analysis

Tominaga

Nonaka

Shiraishi

et al. 2022

Asian J Endoscop Surgery

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Introduction Single‐incision laparoscopic surgery (SILS) for colon cancer is a recent innovation in minimally invasive surgery that can improve short‐term outcome. However, several biases exist in current favorable comparisons of SILS with conventional laparoscopic (CL) surgery. Moreover, the oncological outcomes in SILS remain unclear. The aim of this study was to identify outcomes following SILS and CL for right colectomy using a propensity score‐matched analysis. Methods A total of 553 patients underwent curative resection for right colon cancer (58 SILS and 495 CL). After propensity score matching, 58 patients in each group were matched. Results Before matching, median age was younger (p = 0.037) and clinical stage was lower (p < 0.001) in the SILS group. After matching, operation time was shorter (172 versus 193 min, p = 0.007) and blood loss was less (12 versus 20 mL, p = 0.037) in the SILS group. Most of the SILS cases were performed (43.1%) or supervised (51.7%) by an expert surgeon. Median follow‐up duration was 30 and 37 mo in the SILS and CL groups, respectively. Three‐year relapse‐free survival was 92.5% and 92.4% (p = 0.781); and overall survival was 100% versus 98.1% (p = 0.177). Conclusions Under the control of expert surgeons, SILS appeared to be a safe and feasible approach and had similar oncological outcomes compared with CL in a propensity score‐matched cohort of patients with right‐sided colon cancer.

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“…A single-entry point is placed, typically at the umbilicus, through which the laparoscope and all instruments are inserted [ 34 ]. Its efficacy and safety have been demonstrated across the spectrum of surgical disciplines [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

Paratubal Cystectomy in a Pregnant Woman Using the Single-Incision Laparoscopic Surgery (SILS) Technique

Nelson

MacKenzie

2022

Case Reports in Obstetrics and Gynecology

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Introduction. The proliferation of prenatal ultrasound has enhanced the detection of adnexal masses during pregnancy. The presentation necessitates a clear approach to investigation and treatment that balances both maternal and fetal risk. Laparoscopy is a safe approach to surgical management in the pregnant patient, and SILS may contribute to minimising perioperative complications. Case Presentation. We present the case of a 21-year-old female in her second trimester of pregnancy presenting with a large 20 cm right adnexal cyst. We proceeded with laparoscopic cystectomy via the SILS technique. There were no intraoperative complications, and she recovered well postoperatively. Conclusion. Laparoscopic resection of adnexal lesions is safe during pregnancy and should be favoured over the open approach. SILS minimises incision sites and has potential for reduction in perioperative morbidity.

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Single-Incision Laparoscopy Could Be Better than Standard Laparoscopy in Right Colectomy for Cancer

Abstract: SIRC is feasible and sure for patients with colon cancer. As compared with SLRC, SIRC may offer some advantages, including lower operative morbidity, shorter hospital stay, and better cosmoses, without compromising the oncological quality of the resected specimen.

Cited by 13 publications

References 50 publications

Single-incision laparoscopy surgery: a systematic review

Single-incision laparoscopy surgery: a systematic review

Short‐ and long‐term outcomes of single‐incision laparoscopic surgery for right colon cancer: A multicenter propensity score‐matched analysis

Paratubal Cystectomy in a Pregnant Woman Using the Single-Incision Laparoscopic Surgery (SILS) Technique

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