Clinical and oncological outcomes of single-incision laparoscopic surgery for transverse colon cancer

2017 ◽  
Vol 49 (6) ◽  
pp. 261-265
Author(s):  
Yasumitsu Hirano ◽  
Chikashi Hiranuma ◽  
Masakazu Hattori ◽  
Kenji Douden ◽  
Yasuo Hashizume ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Laparoscopic Surgery ◽  
Transverse Colon ◽  
Single Incision ◽  
Single Incision Laparoscopic Surgery ◽  
Transverse Colon Cancer ◽  
Oncological Outcomes

scholarly journals A learning curve in using organ retractor for single-incision laparoscopic right colectomy

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Toshio Shiraishi ◽  
Tetsuro Tominaga ◽  
Takashi Nonaka ◽  
Kiyoaki Hamada ◽  
Masato Araki ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Laparoscopic Surgery ◽  
Blood Loss ◽  
Learning Curve ◽  
Single Incision ◽  
Operation Time ◽  
Perioperative Outcomes ◽  
Single Incision Laparoscopic Surgery ◽  
Right Colon ◽  
Right Colon Cancer

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.

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

2018 ◽  
Vol 12 (3) ◽  
pp. 275-280 ◽  
Author(s):  
Yoshiyuki Ishii ◽  
Masashi Yahagi ◽  
Hiroki Ochiai ◽  
Hiroyuki Sako ◽  
Ryusuke Amemiya ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Laparoscopic Surgery ◽  
Single Incision ◽  
Single Incision Laparoscopic Surgery ◽  
Short Term

scholarly journals Preoperative Evaluation of Blood Vessel Anatomy Using 3-Dimensional Computed Tomography for Laparoscopic Surgery of Transverse Colon Cancer

2019 ◽  
Vol 103 (1-2) ◽  
pp. 15-20
Author(s):  
Tetsuo Ishizaki ◽  
Kenji Katsumata ◽  
Masayuki Hisada ◽  
Masanobu Enomoto ◽  
Takaaki Matsudo ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Colon Cancer ◽  
Laparoscopic Surgery ◽  
Blood Vessel ◽  
Transverse Colon ◽  
Resection Margin ◽  
Transverse Colon Cancer ◽  
3D Ct ◽  
3 Dimensional ◽  
Vessel Anatomy

This study describes the efficacy of the evaluation of blood vessel anatomy by 3-dimensional computed tomography (3D-CT) for laparoscopic surgery for transverse colon cancer (TCC). A total of 102 patients with TCC were examined by preoperative 3D-CT to clarify their blood vessel anatomy at Tokyo Medical University Hospital between January 2010 and December 2015, before undergoing laparoscopic surgery using the obtained 3D-CT data. Regarding blood vessel variation, the middle colic artery (MCA) was present in all patients (100%). The common duct type was observed in 89 patients (87.3%), and a type of branch separate from the superior mesenteric artery was observed in 13 patients (12.7%). The accessory MCA was present in 25 patients (24.5%). The middle colic vein was present in all patients (100%), and it drained into the following vessels: the superior mesenteric vein, gastrocolic trunk, first jejunal vein, and inferior mesenteric vein [67 (65.8%), 25 (24.5%) 8 (7.8%), and 2 (1.9%) patients, respectively]. Regarding the surgical outcome, the bleeding volume was 43 g, the operative time was 218 minutes, the number of harvested lymph nodes was 21, the proximal resection margin was 164 mm, the distal resection margin was 105 mm, and the length of postoperative hospital stay was 10 days. Although complicated variations and anomalies in the MCA and the contiguous veins were observed, preoperative 3D-CT will be useful for surgeons performing laparoscopic surgery on patients with TCC.

Perioperative and short-term oncological outcomes of single-port surgery for transverse colon cancer

Surgery Today ◽  
2016 ◽  
Vol 47 (6) ◽  
pp. 676-682 ◽  
Author(s):  
Mitsuyoshi Tei ◽  
Yozo Suzuki ◽  
Masaki Wakasugi ◽  
Hiroki Akamatsu
Keyword(s):  
Colon Cancer ◽  
Transverse Colon ◽  
Single Port ◽  
Transverse Colon Cancer ◽  
Short Term ◽  
Oncological Outcomes ◽  
Single Port Surgery

scholarly journals Reduced-Port Laparoscopic Surgery for Patients With Proximal Transverse Colon Cancer With Situs Inversus Totalis: A Case Report

2018 ◽  
Vol 34 (6) ◽  
pp. 322-325 ◽  
Author(s):  
Seung-Seop Yeom ◽  
Kyung Hwan Kim ◽  
Soo Young Lee ◽  
Chang Hyun Kim ◽  
Hyeong Rok Kim ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Case Report ◽  
Laparoscopic Surgery ◽  
Situs Inversus ◽  
Transverse Colon ◽  
Situs Inversus Totalis ◽  
Transverse Colon Cancer ◽  
Reduced Port
Sign in / Sign up

Export Citation Format

Share Document