Short-Term Outcomes of Three-Port Laparoscopic Right Hemicolectomy Versus Five-Port Laparoscopic Right Hemicolectomy: With a Propensity Score Matching Analysis

Shi, Yi; Song, Zijia; Gu, Yifei; Zhang, Yaqi; Zhang, Tao; Zhao, Ren

doi:10.1080/08941939.2019.1579276

Cited by 6 publications

(7 citation statements)

References 21 publications

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“…Did the port-reduced surgery bring less pain to the patients compared to a conventional laparoscopic one? We have already denied the pain-ease theory in our previous article ( 12 ). Whether the cosmetic effect of port-reduced surgery can aesthetically please the patients is not reported in any of the present articles.…”

Section: Discussionmentioning

confidence: 99%

“…After that, some small-scale clinical short-term outcomes of three-port laparoscopic colectomy, scattered in Egypt, Italy ( 11 ), and elsewhere, had been reported. Our center had published our short-term outcomes of three-port laparoscopic right hemicolectomy (TPLRC) versus five-port laparoscopic right hemicolectomy (FPLRC) in 2020, involving 168 patients and using a propensity score matching study, in which TPLRC presented non-inferiority to FPLRC ( 12 ). Years later, the long-term outcome of our study is to be described in this article.…”

Section: Introductionmentioning

confidence: 99%

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LongTerm Outcomes of Three-Port Laparoscopic Right Hemicolectomy Versus Five-Port Laparoscopic Right Hemicolectomy: A Retrospective Study

Zhang

Shen

et al. 2021

Front. Oncol.

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PurposeThe aim of this study is to compare the long-term outcomes of three-port laparoscopic right hemicolectomy (TPLRC) and five-port laparoscopic right hemicolectomy (FPLRC) with retrospective analysis.MethodsA total of 182 patients who accepted laparoscopic right hemicolectomy with either three ports (86 patients) or five ports (96 patients) from January 2012 to June 2017 were non-randomly selected and analyzed retrospectively.ResultsMore lymph nodes were harvested in the TPLRC group than in the FPLRC group [17.5 (7), 14 (8) ml, p < 0.001]. There was less blood loss in the TPLRC group [50 (80) vs. 100 (125) ml, p = 0.015]. There were no significant differences in the other short-term or oncological outcomes between the two groups. The overall survival and disease-free survival were equivalent.ConclusionsTPLRC is recommendable as it guarantees short- and long-term equivalent outcomes compared with FPLRC.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

LongTerm Outcomes of Three-Port Laparoscopic Right Hemicolectomy Versus Five-Port Laparoscopic Right Hemicolectomy: A Retrospective Study

Zhang

Shen

et al. 2021

Front. Oncol.

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“…About 25% of bladder cancer is muscle invasive [7]. With the development of laparoscopic technique, LRC has replaced the traditional open radical cystectomy.In addition, LRC has the advantages of less bleeding and rapid recovery [8].Therefore, the patients with bladder tumor need radical cystectomy, that laparoscopic surgery is the rst choice.There are many ways to establish the operation hole of laparoscopic surgery.Single incision laparoscopic surgery needs to overcome the di culty of instrument collision and lack of triangular traction, and the learning curve of this technique is relatively long [9].Traditional laparoscopic radical cystectomy, usually choose 5 operation holes.However,with the development of three port laparoscopy, its short-term and pathological results are the same as or even better than ve port laparoscopy. Reducing the number of laparoscopic holes is a challenging technique [10].This study collected the data of our hospital using 3 hole LRC for brief analysis.…”

Section: Discussionmentioning

confidence: 99%

A preliminary study on the efficacy and safety of 3-hole VS 5-hole laparoscopic radical cystectomy

peng¹,

Bi²,

Yu³

et al. 2021

Preprint

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Objective To investigate the efficacy and safety of three hole laparoscopic radical cystectomy(LRC) in comparison with five hole LRC. Methods The patients who underwent radical cystectomy from January 2019 to March 2021 in our hospital were retrospectively analyzed.Basic information and preoperative and postoperative data were collected(such as gender, age, hemoglobin, creatinine, operation time, blood loss, ventilation time, etc).Statistical analysis was used to determine whether there was statistical significance between the two groups(3-hole VS 5-hole). Results A total of 99 patients with radical cystectomy and urinary diversion were collected.Three hole laparoscopy included 33 cases and five hole laparoscopy included 66 cases.The basic characteristics of the two groups of data did not have significant statistical significance.The operation time and exsufflation time of 3-hole method were significantly shorter than that of 5-hole method in patients with ileal conduit. In patients with orthotopic neobladder, the exsufflation time and postoperative hospital stay of 3-hole method were significantly shorter than that of 5-hole method.Total laparoscopic surgery has shorter ventilation time than in vitro urinary diversion. Conclusions Compared with 5-hole LRC, 3-hole LRC can reduce the operation time, shorten the hospitalization time, reduce the hospitalization cost and save medical resources. However, due to the small sample size and short follow-up time, the long-term benefits need to be further observed.

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“…As laparoscopic surgery has gradually been accepted as a method of treating cancer, reducing the number of ports has become a trend to make the operation more minimally invasive and better cosmetic effects [ 1 – 3 ]. Even though ovarian tumors or cysts may grow very large, laparoscopy has been proven to be feasible for ovarian cyst larger than 10 cm [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…It was reported that during laparoscopic surgery, patients with ovarian tumor large than 10 cm have more estimated blood loss, longer operation time and longer hospital days than patients with tumors < 10 cm [ 5 ]. With the development of three-port laparoscopy, it has displayed the same or even better short-term and pathological outcomes than five-port laparoscopy [ 3 ]. However, reducing the port number to single-port laparoscopy is a challenging and highly demanding technique.…”

Section: Introductionmentioning

confidence: 99%

Comparison of perioperative outcomes of single-port laparoscopy, three-port laparoscopy and conventional laparotomy in removing giant ovarian cysts larger than 15 cm

Wang

2021

BMC Surg

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Background Although conventional laparoscopy has gradually accepted as a surgical treatment for ovarian cancer, reducing the port numbers of laparoscopy still has great challenge for larger ovarian tumors. Thus, this study aims to explore the surgical outcomes of single-port laparoscopy for removing giant ovarian cysts (≥ 15 cm) and compare with laparotomy and three-port laparoscopy. Methods This study enrolled 95 patients with giant ovarian cysts (> 15 cm) who underwent single-port laparoscopy, three-port laparoscopy or laparotomy. Their medical records, perioperative surgical outcomes, and postoperative pain score and complications were analyzed and compared retrospectively. Results Single-port laparoscopy showed better perioperative outcomes and less postoperative pain than three-port laparoscopy and laparotomy. The time between post-surgery and getting out of bed in single-port laparoscopy was significant shorter than that in the laparotomy and three-port laparoscopy (17.53 ± 7.26 vs 29.40 ± 9.57 vs 24.56 ± 7.76, P < 0.01). The length of hospital stay in single-port laparoscopy was significantly shorter than that in other two groups (4.06 ± 0.5 vs 5.46 ± 1.63 vs 4.81 ± 0.83, P < 0.001). In addition, single-port laparoscopy had the lowest postoperative pain scores than in the laparotomy and three-port laparoscopy. There were no significant differences of total hospital cost, postoperative complications and time until gas passing among the three surgical groups. Importantly, in the removal of giant ovarian cysts, the proportion of cyst rupture in single-port laparoscopy was far lower than that in three-port laparoscopy (3.0 vs 22.2%). Conclusions For giant ovarian cysts, single-port laparoscopy is still a safe and efficient technique with the advantages of short operation time, less estimated blood loss, short hospital stay, lower spillage rate, and less postoperative pain.

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Short-Term Outcomes of Three-Port Laparoscopic Right Hemicolectomy Versus Five-Port Laparoscopic Right Hemicolectomy: With a Propensity Score Matching Analysis

Cited by 6 publications

References 21 publications

LongTerm Outcomes of Three-Port Laparoscopic Right Hemicolectomy Versus Five-Port Laparoscopic Right Hemicolectomy: A Retrospective Study

LongTerm Outcomes of Three-Port Laparoscopic Right Hemicolectomy Versus Five-Port Laparoscopic Right Hemicolectomy: A Retrospective Study

A preliminary study on the efficacy and safety of 3-hole VS 5-hole laparoscopic radical cystectomy

Comparison of perioperative outcomes of single-port laparoscopy, three-port laparoscopy and conventional laparotomy in removing giant ovarian cysts larger than 15 cm

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