Single-Incision Versus Three-Port Conventional Laparoscopic Right Hemicolectomy: Is There Any Real Need to Go Single?

Abstract

Despite its feasibility for right hemicolectomy and its equivalent short-term surgical and oncological outcome compared with conventional laparoscopy, SILS demonstrated no significant advantages in terms of surgical incision length and postoperative course compared with 3PCL-RH. We acknowledge that the small sample size and the nonrandomized design are a limit of the study. Thus, prospective randomized controlled trials are recommended to prove the superiority of single-incision laparoscopic right hemicolectomy.

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 right colectomy: a systematic review and meta‐analysis

“…There was no statistically significant difference between groups in overall morbidity (14.6% single incision vs 16.3% conventional laparoscopic group, P = 0.93) (Fig. ) or in overall mortality (0.82% single incision vs 1.16% conventional laparoscopic group, P = 0.80) (Fig. ) .…”

“…There were no significant differences between groups regarding the occurrence of postoperative ileus ( P = 0.91). The passage of flatus was reported only in three trials, and the data could not be pooled, but all studies reported similar results between the two groups (two to four postoperative days in both groups) . Wound infection seemed lower in r‐SILC (6.2% vs 3.9%), but this was not statistically significant ( P = 0.25) (Fig.…”

“…The characteristics of the included trials are summarized in Table 1 [19][20][21][22][23][24][25][26][27]. In the trials, r-SILC was performed between 2008 and 2012 and conventional laparoscopic right colectomy was carried out between 2006 and 2012.…”

Comparative analysis of single- and multiport laparoscopic right hemicolectomies

“…А после получения первого опыта ограничениями к операциям из ЕЛД остались только ИМТ и наличие злокачественных опухолей [29]. По мнению ряда авторов, небольшой опыт операций из ЕЛД не позволяет оценить их без-опасность, в том числе онкологическую [31][32][33][34][35]. Другая группа авторов наоборот утверждает, что вы-полнение операций из единого лапароскопического доступа безопасно [36][37][38].…”