Single port laparoscopic right hemicolectomy with D3 dissection for advanced colon cancer

Choi, Sung Il; Lee, Kil Yeon; Park, Sun Jin; Lee, Suk-Hwan

doi:10.3748/wjg.v16.i2.275

Cited by 89 publications

(65 citation statements)

References 20 publications

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“…SILS can be performed using refinements of existing technology, and surgeons can perform SILS without any new instruments, specific competence, or training. In the same way, single-incision laparoscopic colectomy (SILC) for colon cancer has been described through case reports and small case series [2][3][4]. This technique results in improved cosmesis with the potential for decreased pain and fewer incisional hernias.…”

Section: Discussionmentioning

confidence: 99%

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The Transverse Colon Cancer with the Reversed Rotation of the Midgut Treated with Single Incision Laparoscopic Colectomy

et al. 2012

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Background Reversed rotation of the midgut is a rare type of intestinal malrotation. Moreover, synchronous colon cancer has rarely been reported. Preliminary experience with single-incision laparoscopic colectomy (SILC) for colon cancer with reversed rotation of the midgut is reported. Case An 82-year-old woman was admitted because of a fecal occult blood. A colonoscopy revealed transverse colon cancer. An air-barium contrast enema showed the right-sided sigmoid colon and the left-sided cecum. A computed tomography revealed that the duodenum and the transverse colon were situated at the ventral side of the superior mesenteric artery, and a preoperative diagnosis of suspicion of reversed rotation of the midgut was made. Surgical Procedures First, a lap protector was inserted through a 4.0 cm transumbilical incision. Four 5 mm ports were placed in the lap protector. On the observation of laparoscopy, the cecum and the ascending colon were not fixed with the retroperitoneum and situated on the left, and the sigmoid colon was situated on the right. We successfully mobilized the transverse colon using a single-incision laparoscopic approach. Resection was achieved following extracorporealization, and the anastomosis was performed extracorporeally using staplers. The patient was discharged on the thirteenth postoperative day. Postoperative follow-up did not reveal any umbilical wound complications. Conclusion SILC for colon cancer associated with malrotation of the midgut is feasible and a promising alternative method because of its less invasiveness and its adaptability to the malrotation without extending the skin incision.

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Section: Discussionmentioning

confidence: 99%

“…Recently, single-incision laparoscopic colectomy (SILC) has been described through case reports and small case series [2][3][4]. The single-incision technique results in improved cosmesis with the potential for decreased pain and fewer incisional hernias.…”

Section: Introductionmentioning

confidence: 99%

The Transverse Colon Cancer with the Reversed Rotation of the Midgut Treated with Single Incision Laparoscopic Colectomy

et al. 2012

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“…Homemade transumbilical port using Alexis wound Retractor®, glove and conventional laparoscopic trocars have been in use to perform various operations like varicocelectomy, transumbilical pre-peritoneal (TAPP) inguinal hernia repair, hemicolectomy and laparoscopic total hysterectomy [1][2][3].…”

Section: Discussionmentioning

confidence: 99%

“…It can also be performed using one of the many commercially available multichannel single-port devices: R-port™ (Advanced surgical concepts, Dublin, Ireland), Uni-X™ (Pnavel system, Morganville, NJ, USA), and SILS port™ (Covedien). Several successful general surgical, urological and gynaecologica procedures were also performed with a homemade transumbilical port using the Alexis wound retractor® and surgical gloves [1][2][3]. The commercially available multichannel single-port devices are very costly and Alexis wound retractor® is not available in this part of our country.…”

Section: Introductionmentioning

confidence: 99%

Improvised Transumbilical Glove Port: A Cost Effective Method for Single Port Laparoscopic Surgery

Khiangte¹,

Newme²,

Phukan³

et al. 2010

Indian J Surg

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Innovations in technology has changed the traditional laparoscopy to be less invasive. Singleport transumbilical laparoscopy has emerged to enhance the cosmetic benefits and to decrease the morbidity of the minimally invasive surgery. It has further minimized the minimally invasive surgery. However, this technique requires a specialized multichannel port (for introducing laparoscope and instruments) which is very costly and in fact, is not affordable by the majority of the population in a developing country like India. We have improvised a single-port access system using readily available materials like surgical gloves, towel ring, inner flexible ring and conventional laparoscopic trocars with no added cost burden to the patient. We have performed 40 single port surgeries using this method without any complications.

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“…Single-incision surgery is a rapidly evolving technique in the field of minimally invasive surgery, but only more recently [2][3][4] has this technique been applied to colorectal surgery. Single-incision laparoscopic colectomy (SILC) has been described through case reports and small case series [5][6][7]. The single-incision technique results in improved cosmesis with the potential for decreased pain and fewer incisional hernias.…”

Section: Introductionmentioning

confidence: 99%

Single Incision Laparoscopic Right Colectomy Using the Techniques of Open Surgery Through the Small Incision

et al. 2012

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To perform single-incision laparoscopic colectomy (SILC) safely while maintaining the minimal invasiveness of SILC and the quality of the lymph node dissection, we have used hybrid single-incision laparoscopic colectomy (H-SILC). Preliminary experience with H-SILC in advanced colon cancer is reported. First, a multi-flap gate was inserted through a 4.0 cm transumbilical incision, and three 5 mm ports were placed in the converter sheet. The procedures were much the same as in usual laparoscopic colectomy excluding a lateral to medial approach. The initial identification or exposure of the ileocolic vessels was performed through a small incision, and lymphadenectomy was mainly achieved using laparoscopic technique. In the course of laparoscopic procedures, whenever we felt stress, we used the techniques of open surgery through the small incision. The procedure was completed successfully without any perioperative complication and no need to extend the skin incision. The operative time was 191 min. Postoperative follow-up did not reveal any umbilical wound complication or any recurrence. Our experience indicates H-SILC is safe and feasible for selected patients with colon cancer with improved cosmesis.

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Single port laparoscopic right hemicolectomy with D3 dissection for advanced colon cancer

Cited by 89 publications

References 20 publications

The Transverse Colon Cancer with the Reversed Rotation of the Midgut Treated with Single Incision Laparoscopic Colectomy

The Transverse Colon Cancer with the Reversed Rotation of the Midgut Treated with Single Incision Laparoscopic Colectomy

Improvised Transumbilical Glove Port: A Cost Effective Method for Single Port Laparoscopic Surgery

Single Incision Laparoscopic Right Colectomy Using the Techniques of Open Surgery Through the Small Incision

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