Single-incision Laparoscopic Surgery for Colon and Rectal Cancer

2013 ◽  
Vol 23 (6) ◽  
pp. 494-497 ◽  
Author(s):  
Iván Arteaga González ◽  
Antonio Martín Malagón ◽  
Sara Gonzalez Garcia ◽  
Eudaldo M. Lopez-Tomassetti Fernández ◽  
Angel Carrillo Pallares
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Single Incision ◽  
Single Incision Laparoscopic Surgery ◽  
Colon And Rectal Cancer

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

2021 ◽  
Vol 49 (7) ◽  
pp. 030006052110196
Author(s):  
Ze-Jian Wu ◽  
Xiang-Wu Huang ◽  
Jia-He Yu ◽  
Hui-Zhong Lin ◽  
Feng-Wu Zheng
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Single Incision ◽  
Postoperative Bleeding ◽  
Radical Resection ◽  
Clinical Analysis ◽  
Single Incision Laparoscopic Surgery ◽  
Conventional Laparoscopic Surgery ◽  
Conventional Laparoscopic ◽  
Open Operation

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.

Single Incision Laparoscopic Surgery (SILS) bei Patienten mit chronisch entzündlichen Darmerkrankungen (CED)

2011 ◽  
Vol 49 (08) ◽  
Author(s):  
EJM Rijcken ◽  
R Mennigen ◽  
I Argyris ◽  
N Senninger ◽  
M Brüwer
Keyword(s):  
Laparoscopic Surgery ◽  
Single Incision ◽  
Single Incision Laparoscopic Surgery

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.

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