Systematic review of single-incision versus conventional multiport laparoscopic surgery for sigmoid colon and rectal cancer

Liu, Xin; Li, Jibin; Shi, Gang; Guo, Rui; Zhang, Rui

doi:10.1186/s12957-018-1521-4

Cited by 28 publications

(22 citation statements)

References 22 publications

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“…Laparoscopic surgery for left-sided colorectal cancer and rectal cancer has gained wide clinical acceptance because of its minimal invasiveness, reduced blood loss, and the relatively short hospital stay involved [21]. However, misidentification and misligation of mesenteric vessels are the main reasons for massive abdominal bleeding, prolonged operation time, and poor postoperative prognosis [22]. Therefore, preoperative awareness of the anatomical structure of the IMA and its positional relationship with the IMV preoperatively, which helps surgeons formulate preoperative strategies and perform safe and rapid vessel ligation, is required.…”

Section: Discussionmentioning

confidence: 99%

A study on spinal level, length, and branch type of the inferior mesenteric artery and the position relationship between the inferior mesenteric artery, left colic artery, and inferior mesenteric vein

et al. 2022

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Background This study was aimed to explore the clinical application of dual-energy computed tomography (DECT) monoenergetic plus (mono+) imaging to evaluate anatomical variations in the inferior mesenteric artery (IMA). Methods The clinical and imaging data of 212 patients who had undergone total abdominal DECT were retrospectively analyzed. The post-processing mono+ technique was used to obtain 40-keV single-level images in the arterial phase. Three-dimensional reconstruction was performed to evaluate the relationship between the IMA root position and the spinal level, IMA length, and IMA branch type, as well as the position of the left colic artery (LCA) and inferior mesenteric vein (IMV) at the IMA root level. Results The IMA root was located at the L3 level in 78.3% of cases and at the L2/L3 level in 3.3%. The highest vertebral level of IMA origin was L2 (4.2%), and the lowest was L4 (7.1%). The distance from the IMA root to the level of the sacral promontory was 99.58 ± 13.07 mm, which increased with the elevation of the IMA root at the spinal level. Of the patients, 53.8% demonstrated Type I IMA, 23.1% Type II, 20.7% Type III, and 2.4% Type IV. The length of the IMA varied from 13.6 to 66.0 mm. 77.3% of the IMAs belonged to Type A, the adjacent type, and 22.7% to Type B, the distant type. Conclusion DECT mono+ can preoperatively evaluate the anatomical characteristics of the IMA and the positional relationship between the LCA and IMV at the IMA root level, which would help clinicians plan individualized surgery for patients.

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Section: Discussionmentioning

confidence: 99%

A study on spinal level, length, and branch type of the inferior mesenteric artery and the position relationship between the inferior mesenteric artery, left colic artery, and inferior mesenteric vein

et al. 2022

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“…The short-term benefits of SALS over CLS were clear in the immediate postoperative period in the form of significantly lower postoperative pain scores, shorter time to first bowel movement, and reduced length of hospital stay [ 12 , 50 ].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Survival between Single-Access and Conventional Laparoscopic Surgery in Rectal Cancer

Sirikurnpiboon

2021

Minimally Invasive Surgery

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Introduction. Innovative laparoscopic surgery for rectal cancer can be classified into 2 types: firstly, new instruments such as robotic surgery and secondly, new technique such as single-access laparoscopic surgery (SALS) and transanal total mesorectal excision (TaTME). Most reports of SALS for rectal cancer have shown pathologic outcomes comparable to those of conventional laparoscopic surgery (CLS); however, SALS is considered to be superior to CLS in terms of lower levels of discomfort and faster recovery rates. This study aimed to compare the survival outcomes of the two approaches. Methods. From 2011 to 2014, 84 cases of adenocarcinoma of the rectum and anal canal were enrolled. The operations were anterior, low anterior, intersphincteric, and abdominoperineal resections. Data collected included postoperative outcomes. The oncological outcomes recorded included 3-year and 5-year survival, local recurrence, and metastasis. Results. SALS was performed on 41 patients, and CLS was utilized in 43 cases. The demographic data of the two groups were similar. Intraoperative volumes of blood loss and conversion rates were similar, but operative time was longer in the SALS group. There were no significant differences in postoperative complications or pathological outcomes. The oncologic results were similar in terms of 3-year survival (100% and 97.7%; p = 1.00), 5-year survival (78.0% and 86.0%; p = 0.401), local recurrence rates (19.5% vs 11.6%, p = 0.376), and metastasis rates (19.5% vs 11.6%; p = 0.376) for SALS and CLS, respectively. Conclusion. SALS and CLS for rectal and anal cancer had comparable pathological and survival results, but SALS showed some superior benefits in the early postoperative period.

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“…Accordingly, SILS was developed and allows laparoscopic procedures to be completed using trocars located in one umbilical incision. 18 The application of SILS for colorectal surgery has emerged recently; 19 however, data regarding pure single-incision laparoscopic rectal cancer surgery, including low rectal cancer surgery, are rare because of the technical difficulties, including rectal transection. The aim of our study was to evaluate the short-term clinical and oncological safety of SILS+1 for sigmoid colon and upper rectal cancer.…”

Section: Discussionmentioning

confidence: 99%

Short-term clinical and oncological outcomes after single-incision plus one-port laparoscopic surgery for rectosigmoid cancer: a retrospective clinical analysis of 30 cases

Huang

et al. 2021

J Int Med Res

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Objective To evaluate the safety and feasibility of single-incision laparoscopic surgery+1 (SILS+1) radical resection of sigmoid and upper rectal cancer. Methods The clinical data of 30 consecutive patients with sigmoid and upper rectal cancer who underwent SILS+1 radical resection between October 2018 and January 2020 in our hospital were retrospectively analyzed. An initial 5-cm periumbilical transverse incision was made. Then, a multiport device was placed in the umbilical incision. Two 10-mm ports were used for laparoscope insertion, and the other two ports were used for laparoscope device insertion. A 12-mm trocar was placed in the right lower abdominal quadrant under laparoscopic view and served as the surgeon’s dominant operating channel. Results All operations were performed successfully without conversion to conventional laparoscopic surgery or open operation. Three patients developed postoperative complications: one patient developed ileus, one developed postoperative bleeding, and one developed wound infection. There were no perioperative deaths. Conclusions The safety and feasibility of SILS+1 radical resection of sigmoid and upper rectal cancer was established by experienced surgeons in our study. However, further studies are needed to demonstrate the advantages of this procedure compared with the benefits of conventional laparoscopic surgery.

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Systematic review of single-incision versus conventional multiport laparoscopic surgery for sigmoid colon and rectal cancer

Cited by 28 publications

References 22 publications

A study on spinal level, length, and branch type of the inferior mesenteric artery and the position relationship between the inferior mesenteric artery, left colic artery, and inferior mesenteric vein

A study on spinal level, length, and branch type of the inferior mesenteric artery and the position relationship between the inferior mesenteric artery, left colic artery, and inferior mesenteric vein

Comparison of Survival between Single-Access and Conventional Laparoscopic Surgery in Rectal Cancer

Short-term clinical and oncological outcomes after single-incision plus one-port laparoscopic surgery for rectosigmoid cancer: a retrospective clinical analysis of 30 cases

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