Short‐term and midterm outcomes of single‐incision laparoscopic surgery for right‐sided colon cancer

Abstract

Introduction: The purpose of this study was to clarify the usefulness of SILS for right-sided colon cancer by evaluating the short-term and midterm outcomes.Methods: Between 2012 and 2017, 65 selected patients with right-sided colon cancer underwent ileocecal resection, right hemicolectomy, or transverse colectomy; all were enrolled in the study. The same well-trained surgeon performed each procedure by using a multi-instrument access port with three channels, which was placed at the umbilicus via an approximately 3-cm skin incision.Results: The pathological disease stage distribution was stage 0, 4 cases; stage I, 23 cases; stage II, 19 cases; stage III, 17 cases; and stage IV, 2 cases. The surgical procedures performed were ileocecal resection, 23 cases; right hemicolectomy, 35 cases; and transverse colectomy, 7 cases. The median operative time and intraoperative blood loss were 216 min and 10 mL, respectively. Although 18 cases needed additional ports, none required conversion to open surgery. The median number of harvested lymph nodes was 24. No major perioperative morbidities occurred in this patient series. The median postoperative hospital stay was 7 days. The median follow-up period was 30 months, and the 3-year relapse-free and overall survival rates were 100% and 100%, respectively, in the stage 0-I cases and 89% and 96% in the stage II-III cases, respectively. Conclusion:We concluded that SILS is as feasible as multiport laparoscopic surgery and a reliable surgical option in selected cases of right-sided colon cancer.

Single‐incision laparoscopic colectomy for ascending colon tumor with relapsing polychondritis

“…There are several reports that SILC is as feasible and safe as multiple-incision laparoscopic colectomy (MLC) in colon cancer. 7 Furthermore, Suzuki et al 8 reported that the median length of the hospital stay for the SILC patients was significantly shorter compared with the MLC patients (the bowel function recovery was estimated and included in the discharge criteria).We think that SILC was less invasive than MLC, and SILC is effective and valuable for this patient. In this case, the progression of RP could be prevented by SILC.…”

Short‐ and long‐term outcomes of single‐incision laparoscopic surgery for right colon cancer: A multicenter propensity score‐matched analysis

“…Previous studies have reported unexpected open conversion in SILS surgery, ranging from 1.4% to 9.5% 9,20,30,31 and insertion of an additional port ranging from 6.3% to 27.8%. 18,32,33 Conversion to open surgery is reported to increase postoperative complications, which results in longer hospital stays. 34 No patient in the present study experienced conversion to open surgery and none required the insertion of an additional port.…”

Single‐port laparoscopic colectomy in elderly patients with colon cancer: A propensity score‐matched comparison with younger patients

“…The indications for SPLC have expanded as evidence has grown regarding its short‐term oncological safety and advantages, including good cosmesis, reduced postoperative pain, and shortened hospital stay . The application of SPLC in elderly patients remains controversial.…”

“…The indications for SPLC have expanded as evidence has grown regarding its short-term oncological safety and advantages, including good cosmesis, reduced postoperative pain, and shortened hospital stay. [7][8][9][10] The application of SPLC in elderly patients remains controversial. To our knowledge, only two studies to date, both published in 2018, have specifically evaluated the outcomes of SPLC in elderly patients with colon cancer.…”