scholarly journals Transumbilical single-incision laparoscopic surgery for sigmoid colon cancer

2010 ◽  
Vol 24 (9) ◽  
pp. 2321-2321 ◽  
Author(s):  
Ichiro Takemasa ◽  
Mitsugu Sekimoto ◽  
Masataka Ikeda ◽  
Tsunekazu Mizushima ◽  
Hirofumi Yamamoto ◽  
...  
2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Toshio Shiraishi ◽  
Tetsuro Tominaga ◽  
Takashi Nonaka ◽  
Kiyoaki Hamada ◽  
Masato Araki ◽  
...  

AbstractSingle-incision laparoscopic surgery (SILS) has the potential to improve perioperative outcomes, including less postoperative pain, shorter operation time, less blood loss, and shorter hospital stay. However, SILS is technically difficult and needs a longer learning curve. Between April 2016 and September 2019, a total of 198 patients with clinical stage I/II right colon cancer underwent curative resection. In the case of the SILS approach, an organ retractor was usually used to overcome SILS-specific restrictions. The patients were divided into two groups by surgical approach: the SILS with organ retractor group (SILS-O, n = 33) and the conventional laparoscopic surgery group (LAC, n = 165). Clinical T status was significantly higher in the LAC group (p = 0.016). Operation time was shorter and blood loss was lower in the SILS-O group compared to the LAC group (117 vs. 197 min, p = 0.027; 10 vs. 25 mL, p = 0.024, respectively). In the SILS-O group, surgical outcomes including operation time, blood loss, number of retrieved lymph nodes, and postoperative complications were not significantly different between those performed by experts and by non-experts. Longer operation time (p = 0.041) was significantly associated with complications on univariate and multivariate analyses (odds ratio 2.514, 95%CI 1.047–6.035, p = 0.039). SILS-O was safe and feasible for right colon cancer. There is a potential to shorten the learning curve of SILS using an organ retractor.


2018 ◽  
Vol 12 (3) ◽  
pp. 275-280 ◽  
Author(s):  
Yoshiyuki Ishii ◽  
Masashi Yahagi ◽  
Hiroki Ochiai ◽  
Hiroyuki Sako ◽  
Ryusuke Amemiya ◽  
...  

2013 ◽  
Vol 6 (3) ◽  
pp. 217-219 ◽  
Author(s):  
Ai Sadatomo ◽  
Yasuyuki Miyakura ◽  
Toru Zuiki ◽  
Koji Koinuma ◽  
Hisanaga Horie ◽  
...  

2017 ◽  
Vol 49 (6) ◽  
pp. 261-265
Author(s):  
Yasumitsu Hirano ◽  
Chikashi Hiranuma ◽  
Masakazu Hattori ◽  
Kenji Douden ◽  
Yasuo Hashizume ◽  
...  

2021 ◽  
Vol 54 (6) ◽  
pp. 424-429
Author(s):  
Yujin Kato ◽  
Seiichiro Yamamoto ◽  
Yusuke Yoshikawa ◽  
Kiminori Takano ◽  
Kumiko Hongo ◽  
...  

2013 ◽  
Vol 29 (1) ◽  
pp. 17 ◽  
Author(s):  
Sang Eun Nam ◽  
Eun-Joo Jung ◽  
Chun-Geun Ryu ◽  
Jin Hee Paik ◽  
Dae-Yong Hwang

2017 ◽  
Vol 32 (3) ◽  
pp. 1434-1440 ◽  
Author(s):  
Yujiro Nishizawa ◽  
Taishi Hata ◽  
Ichiro Takemasa ◽  
Makoto Yamasaki ◽  
Hiroshi Akasaka ◽  
...  

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