Single-Port Laparoscopic Surgery Can Be Performed Safely and Appropriately for Colon Cancer: Short-Term Results of a Pilot Randomized Controlled Trial

Kang, Byung Mo; Park, Sun Jin; Lee, Kil Yeon; Lee, Suk-Hwan

doi:10.1089/lap.2016.0467

Cited by 22 publications

(41 citation statements)

References 24 publications

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“…Four of the studies 12,13,31,32 reported this outcome. The SILS CME had smaller total wound length (WMD = −3.02 [−3.25 to −2.80]; P < .00001) with considerable heterogeneity I 2 = 82% (Figure 4).…”

Section: Wound Length (In Centimeters)mentioning

confidence: 87%

“…None of the studies employed an enhanced recovery protocol. Two studies 12,31 provide a description of their discharge criteria, and 3 of the studies 12,30,31 reported on their readmission data. The 2 studies that report on long-term outcomes include a percentage of stage III patients who received adjuvant chemotherapy that ranged between 20% and 21.5% in the SILS CME group.…”

Section: Selection and Quality Assessmentmentioning

confidence: 99%

“…Four of the studies [12][13][14]31 report on pan intensity. During postoperative day 1, no statistically significant difference was found in the pain scores of the 2 groups (SMD = −0.21 [−0.50 to 0.09]; P = .17) with moderate levels of heterogeneity I 2 = 58% ( Figure 5).…”

Section: Pain Intensity and Duration Of Analgesiamentioning

confidence: 99%

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A Systematic Review and Meta-Analysis of Single-Incision Versus Multiport Laparoscopic Complete Mesocolic Excision Colectomy for Colon Cancer

et al. 2019

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Background. Our aim was to compare the emerging technique of single-incision laparoscopic surgery complete mesocolic excision (SILS CME) colectomy with the standard multiport laparoscopic CME (MPL CME) colectomy. Methods. MEDLINE (PubMed), Scopus, EMBASE, Ovid, and the Cochrane library were searched. Studies comparing the SILS CME with MPL CME in adults with colon adenocarcinoma were included. The Jadad and Newcastle Ottawa Scales were used to critically appraise the studies. The presence of statistical heterogeneity or publication bias was examined. Results. Seven studies (3 randomized) with a total number of 1344 patients were included (546 SILS CME and 798 MPL CME). No difference was found in anastomotic leakage (odds ratio [OR] = 0.79 [0.31 to 2.03]; P = .63), number of lymph nodes (weighted mean difference [WMD] = 0.85 [−0.97 to 2.66]; P = .36), hospital stay (WMD = 0.01 [−0.19 to 0.20]; P = .96), overall survival (hazard ratio [HR] = 1.19 [0.29 to 4.80]; P = .81), and disease-free survival (HR = 1.30 [0.30 to 5.61]; P = .72). Skin incision was shorter in SILS CME group (WMD = −3.02 [−3.25 to −2.80]; P < .00001) but with no difference in pain reported in postoperative day 1 (standardized mean difference [SMD] = −0.21 [−0.50 to 0.09]; P = .17) or day 2 (SMD = 0.16 [−0.52 to 0.84]; P = .64). Conclusions. SILS CME, although technically more demanding, has equivalent short- and long-term outcomes when compared with MPL CME. Potential benefits in cosmesis or postoperative pain need to be further explored by high-quality randomized controlled trials.

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Section: Wound Length (In Centimeters)mentioning

confidence: 87%

Section: Selection and Quality Assessmentmentioning

confidence: 99%

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A Systematic Review and Meta-Analysis of Single-Incision Versus Multiport Laparoscopic Complete Mesocolic Excision Colectomy for Colon Cancer

et al. 2019

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“…Furthermore, the laparoscopic colorectal resections also offer similar long-term oncologic and survival outcomes as compared to open surgery (5,9,(13)(14)(15)(16). The clinical benefits of laparoscopic surgery seem to be due to the small incision in the abdominal wall, reduced bowel manipulation and thereby reduced surgical trauma (17).…”

Section: Original Articlementioning

confidence: 99%

“…A total of 194 studies were identified from Scopus and Medline and other electronic databases. Among them, 5 RCTs (n=525), published between 2012 and 2018, were eligible for inclusion (17,22,37,53,54); and the reasons for ineligibility are described in PRISMA flow chart Figure 1. The salient characteristics of included trials are described in Table 1.…”

Section: Characteristics Of Selected Trialsmentioning

confidence: 99%

Meta-analysis of randomized controlled trials only exploring the role of single incision laparoscopic surgery versus conventional multiport laparoscopic surgery for colorectal resections

Hebbar

Riaz

Sains

et al. 2018

Transl. Gastroenterol. Hepatol.

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Oncologic long-term outcome of single-incision laparoscopic surgery (SILS) for colorectal cancer

Rink

Golubev

Vestweber³

et al. 2021

Int J Colorectal Dis

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Purpose Single-incision laparoscopic surgery (SILS) has been introduced as a less invasive alternative to multi-port laparoscopic surgery (MLS). MLS is widely accepted for the treatment of colorectal cancer, but there remains minimal evidence for the use of SILS. Thus, we compared both short- and long-term outcomes of SILS and open surgery (OS) in matched cohorts of colorectal cancer patients. Methods Some 910 patients had colorectal resections for cancer between 2006 and 2013, and 134 of them were operated on using SILS. Eighty of these SILS patients were compared to a cohort of patients who had open surgery that were matching in tumour stage and location, type of resection, sex, age and ASA Score. Disease-free survival at 5 years (5y-DFS) was the primary endpoint; morbidity and hospitalization were secondary parameters. The role of surgical training in SILS was also investigated. Results Clavien Dindo ≥ IIIb complications occurred in 13.8% in both groups. 5y-DSF were 82% after SILS and 70% after OS (p = 0.11). Local recurrence after rectal cancer tended to be lower after SILS (0/43 (SILS) vs. 4/35 (OS), p = 0.117). Length of stay was significantly shorter after SILS (10 vs. 14 days, p = 0.0004). The rate of operations performed by surgical residents was equivalent in both groups (44/80 (SILS) vs. 46/80 (OS), p = 0.75). Conclusion The data demonstrates that SILS results in similar long-term oncological outcomes when compared to open surgery as well as morbidity rates. The hospital stay in the SILS group was shorter. SILS can also be incorporated in surgical training programmes.

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Single-Port Laparoscopic Surgery Can Be Performed Safely and Appropriately for Colon Cancer: Short-Term Results of a Pilot Randomized Controlled Trial

Abstract: SPLS for colon cancer is feasible and can be performed by following oncologic principles. However, surgeons should be aware of the potential for unexpected adjacent organ injury ( ClinicalTrial.gov identifier: NCT01203969).

Cited by 22 publications

References 24 publications

A Systematic Review and Meta-Analysis of Single-Incision Versus Multiport Laparoscopic Complete Mesocolic Excision Colectomy for Colon Cancer

A Systematic Review and Meta-Analysis of Single-Incision Versus Multiport Laparoscopic Complete Mesocolic Excision Colectomy for Colon Cancer

Meta-analysis of randomized controlled trials only exploring the role of single incision laparoscopic surgery versus conventional multiport laparoscopic surgery for colorectal resections

Oncologic long-term outcome of single-incision laparoscopic surgery (SILS) for colorectal cancer

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