Single-port laparoscopic colectomy versus conventional laparoscopic colectomy for colon cancer: a comparison of surgical results

Egi, Hiroyuki; Hattori, Minoru; Hinoi, Takao; Takakura, Yuji; Kawaguchi, Yasuo; Shimomura, Manabu; Tokunaga, Masahito; Adachi, Tomohiko; Urushihara, Takashi; Itamoto, Toshiyuki; Ohdan, Hideki

doi:10.1186/1477-7819-10-61

Cited by 37 publications

(30 citation statements)

References 14 publications

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“…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.…”

Section: Resultsmentioning

confidence: 99%

Single-incision laparoscopic surgery for colorectal cancer

Hirano

Hattori

Douden

et al. 2016

WJGS

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Section: Resultsmentioning

confidence: 99%

Single-incision laparoscopic surgery for colorectal cancer

Hirano

Hattori

Douden

et al. 2016

WJGS

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“…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. The only reported advantage of SILC was the better cosmetic outcome.…”

Section: Silc For Malignancymentioning

confidence: 60%

“…The only reported advantage of SILC was the better cosmetic outcome. 15 There is only 1 randomized controlled trial in the literature comparing SILC and MLC for colonic neoplasms. 16 In this study, Poon et al 16 selected patients with small cancers (Ͻ4 cm) or adenomatous polyps requiring colectomy and randomized them to undergo either SILC or MLC.…”

Section: Silc For Malignancymentioning

confidence: 99%

Single-Port Total Abdominal Colectomy for Colon Cancer

Hosn

Jamali

Alami

2014

CRSLS

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Introduction: Single-incision laparoscopic surgery has gained popularity in recent years with an increasing number of complicated procedures being performed using this approach. Single-port total colectomy has been reported in the literature mainly in the setting of inflammatory bowel disease and polyposis. We report on a young patient who underwent single-port abdominal colectomy for transverse colon cancer along with multiple colonic polyps.

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“…We believe the contributing factors for this request are that patients feel safer in the hospital and daily bed costs are low. Mean length of hospital stay varies between 4 to 10 days in some studies (1,3,7,8). Park et al (4) compared this technique with conventional laparoscopic colorectal surgery (C-LCS) and found that blood loss, resection margin length, and morbidity were similar but the operation time in single port surgeries were shorter.…”

Section: Discussionmentioning

confidence: 99%

“…Colorectal procedures with this method have also begun during the same period. According to results from studies on single incision surgical procedures, this method has a slight advantage over conventional laparoscopic procedures with less pain, less length of hospital stay and faster recovery (2)(3)(4).…”

Section: Introductionmentioning

confidence: 99%

Single-incision (with multi-input single-port) laparoscopic colorectal procedures: Early results

Ertem

Gök

Özveri

2013

UCD

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Objective: Single incision laparoscopic surgery (SILS) is a "scar-less" new surgical technique which has been gaining popularity over recent years. In comparison to conventional multiport laparoscopic surgery, SILS is introduced as a less invasive method. This technique has also been applied to colorectal surgery. The aim of the presenting study is to investigate the applicability of SILS and report short term results. Material and Methods:We evaluated prospectively collected data of 24 patients who had been operated with "Single Incision Laparoscopic Colon Resection (SILCR)" in our clinic between June 2011-June 2013. Informed consent was obtained from all patients before surgery. Patient data such as ASA and BMI values, need for additional surgery, tumors, number of lymph nodes resected, length of hospital stay, length of surgery, timing of flatus, time to start oral feeding and complications were recorded.Results: SILCR was performed in 24 patients. In 13 patients, SILCR was performed for cancer treatment. There was no need for extra ports, conversion to open surgery and stoma creation was also not necessary. Drain was placed in 4 patients. Overall complication rate was 12.5%. The mean number of lymph nodes in 13 patients who underwent SILCR for tumor was found to be 23 (14-33). The mean operative time and length of hospital stay was 177 minutes (110-363) and 5.35 days (4-11) respectively. Anastomotic leakage was not seen in any of the patients. In one patient, urinoma formation due to ureteral leakage was seen which resulted from thermal injury. Conclusion:When we compare other series with almost the same number of patients' reported SILS results in the literature, we believe that we could draw conclusions from our data. SILS appears to have comparable results to conventional multiport laparoscopic surgery in the hands of experienced surgeons. It seems advantegous as it can be done with conventional laparoscopic instruments in a "scar-less" manner. Prospective randomized trials are necessary to define the benefits of one procedure over the other. Original Investigation INTRODUCTIONExpertise in laparoscopy over 20 years and the advances in technology expand the role of NOTES and single port or single incision surgeries within the spectrum of minimally invasive surgery. This technique has rapidly gained acceptance with support from flexible hand devices, telescopes with rotating ends and port systems that can be placed through 2-5 cm incisions without gas leakage. This technique was first used in right-hemicolectomy by Remzi et al. for a large cecal polyp (1). Similar to the way laparoscopic surgery began; single incision surgery was first used in cholecystectomy and gained popularity thereafter. Colorectal procedures with this method have also begun during the same period. According to results from studies on single incision surgical procedures, this method has a slight advantage over conventional laparoscopic procedures with less pain, less length of hospital stay and faster recovery (2-4).

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Single-port laparoscopic colectomy versus conventional laparoscopic colectomy for colon cancer: a comparison of surgical results

Cited by 37 publications

References 14 publications

Single-incision laparoscopic surgery for colorectal cancer

Single-incision laparoscopic surgery for colorectal cancer

Single-Port Total Abdominal Colectomy for Colon Cancer

Single-incision (with multi-input single-port) laparoscopic colorectal procedures: Early results

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