scholarly journals Six Cases of Simultaneous Reduced Port Laparoscopic Surgery for Synchronous Gastric and Colorectal Cancer

2016 ◽  
Vol 103 (5-6) ◽  
pp. 248-254
Author(s):  
Tadashi Yoshida ◽  
Hideki Kawamura ◽  
Shigenori Homma ◽  
Susumu Shibasaki ◽  
Tatsushi Shimokuni ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Laparoscopic Surgery ◽  
Total Gastrectomy ◽  
Anterior Resection ◽  
Distal Gastrectomy ◽  
Flank Region ◽  
Right Hemicolectomy ◽  
First Report ◽  
Umbilical Incision ◽  
Reduced Port

We report 6 cases of simultaneous resection of synchronous gastric and colorectal cancer using a multichannel port and an additional 5-mm port. This is the first report of simultaneous gastric and colorectal resection using a reduced port technique. A multichannel port was inserted into an umbilical incision, and another 5-mm port in the right flank region. We named this approach “dual port surgery.” This report includes a 76-year-old man who underwent total gastrectomy and left hemicolectomy, a 70-year-old woman who underwent distal gastrectomy and high anterior resection, a 75-year-old man who underwent distal gastrectomy and right hemicolectomy, a 72-year-old man who underwent total gastrectomy and sigmoidectomy, a 67-year-old man who underwent distal gastrectomy and high anterior resection, and a 57-year-old woman who underwent distal gastrectomy and right hemicolectomy. All operations were successful. All patients recovered quickly, and were discharged without any intra- or postoperative complications. On a median follow-up of 14.5 months, all patients remain well with no evidence of recurrent malignancy. This is the first report of simultaneous reduced port laparoscopic surgery for synchronous gastric and colorectal cancer. This procedure was performed safely and successfully.

Umbilical Incision Laparoscopic Surgery with One Assist Port for Anterior Resection

2010 ◽  
Vol 27 (5) ◽  
pp. 364-366 ◽  
Author(s):  
Hidejiro Kawahara ◽  
Kazuhiro Watanabe ◽  
Takuro Ushigome ◽  
Rohta Noaki ◽  
Susumu Kobayashi ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Anterior Resection ◽  
Umbilical Incision

scholarly journals Single incision glove port laparoscopic colorectal cancer resection

2015 ◽  
Vol 97 (3) ◽  
pp. 204-207 ◽  
Author(s):  
HMN Joshi ◽  
MP Gosselink ◽  
S Adusumilli ◽  
R Hompes ◽  
C Cunningham ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Anterior Resection ◽  
Single Incision ◽  
Single Port ◽  
Rectus Sheath ◽  
Postoperative Mortality ◽  
Right Hemicolectomy ◽  
Colorectal Cancer Resection ◽  
Wound Retractor ◽  
Glove Port

Introduction The advantages of single port surgery remain controversial. This study was designed to evaluate the safety and feasibility of single incision glove port colon resections using a diathermy hook, reusable ports and standard laparoscopic straight instrumentation. Methods Between June 2012 and February 2014, 70 consecutive patients (30 women) underwent a colonic resection using a wound retractor and glove port. Forty patients underwent a right hemicolectomy through the umbilicus and thirty underwent attempted single port resection via an incision in the right rectus sheath (14 high anterior resection, 13 low anterior resection, 3 abdominoperineal resection). Results Sixty-two procedures (89%) were completed without conversion to open or multiport techniques. Four procedures had to be converted and additional ports were needed in four other patients. The postoperative mortality rate was 0%. Complications occurred in six patients (9%). Two cases were R1 while the remainder were R0 with a median nodal harvest of 20 (range: 9–48). The median length of hospital stay was 5 days (range: 3–25 days) (right hemicolectomy: 5 days (range: 3–12 days), left sided resection: 6 days (range: 4–25 days). At a median follow-up of 14 months, no port site hernias were observed. Conclusions Single incision glove port surgery is an appropriate technique for different colorectal cancer resections and has the advantage of being less expensive than surgery with commercial single incision ports.

scholarly journals Improving the Advantages of Single Port in Right Hemicolectomy: Analysis of the Results of Pure Transumbilical Approach with Intracorporeal Anastomosis

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Salvador Morales-Conde ◽  
Antonio Barranco ◽  
María Socas ◽  
Cristina Méndez ◽  
Isaias Alarcón ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Single Port ◽  
Laparoscopic Approach ◽  
Clinical Analysis ◽  
Right Hemicolectomy ◽  
Intracorporeal Anastomosis ◽  
Medium Size ◽  
Patient’S Satisfaction ◽  
Umbilical Incision ◽  
Mucocele Of The Appendix

Background. Single-port laparoscopic surgery has recently emerged as a method to improve patient recovery and cosmetic benefits of laparoscopic surgery. The evolution of our technique has led us to move from a periumbilical incision to a transumbilical one, avoiding the use of drain and maintaining a pure single-port approach with intracorporeal anastomosis in order to maintain the incision as smaller as possible.Method. We report a prospective clinical analysis of our first 38 patients. Oncological surgical steps were followed as during the standard laparoscopic approach, performing the anastomosis intracorporeally in all cases.Results. Mean age of 68,39 years old and an average BMI of 27,88%. (range 19,81–41,5). Most lesions were adenocarcinoma (65,8%), while the remaining were polyps (31,5%) and one a mucocele of the appendix. We moved from a periumbilical incision, initial 14 cases, into a transumbilical one, (medium size of the incision 3,25 cm). Average surgical time was 117,42 minutes. Drains was only used in our first 3 cases. Mean hospital stay was 5,2 days, (86,5% stayed less than 5 days). Total morbidity was 13%. Histological exams of the specimens showed that the oncological criteria were preserved.Conclusions. Single-port right hemicolectomy with intracorporeal anastomosis is feasible and safe. The advantages of a total intracorporeal anastomosis include that there is no need to enlarge the umbilical incision and avoid traction of the pedicle of the mesenterium of the transverse colon during the extracorporeal anastomosis. A transumbilical incision offers better cosmetic results, and the use of drains can be avoided, which increase, patient’s satisfaction.

Outcomes of laparoscopic surgery for pT3/pT4 colorectal cancer in young vs. old patients

2019 ◽  
Vol 74 (4) ◽  
Author(s):  
Gabriele Bellio ◽  
Marina Troian ◽  
Arianna Pasquali ◽  
Nicolò de Manzini
Keyword(s):  
Colorectal Cancer ◽  
Laparoscopic Surgery ◽  
Old Patients

THE PRELIMINARY RESULTS OF OPERATION COLORECTAL ADENOMATOUS POLYPOSIS BY LAPAROSCOPY

2017 ◽  
pp. 63-68
Author(s):  
Quoc Phong Le ◽  
Nhu Hiep Pham
Keyword(s):  
Laparoscopic Surgery ◽  
Bowel Resection ◽  
Right Hemicolectomy ◽  
Adenomatous Polyposis ◽  
Operative Indication ◽  
Surgical Department ◽  
Colorectal Polyposis ◽  
Segmental Bowel Resection ◽  
The Mean ◽  
Bloody Stools

Objective: To study the clinical characteristics, paraclinic, the operative indication and treatment outcomes operation of colorectal polyposis by laparoscopic. Marterials: 12 patients with colorectal polyposis, is surgically the subtotal colectomy, and the total colorectomy by laparoscopic from 11/2012 to 4/2015 at Digestive Surgical Department of Hue Central Hospital. Method: Prospective study, all patients were examined clinically, endoscopic colorectal, operative indication, the type of surgery, lengh of post-operative stay, complications, and pathology. Results: From 11/2012 to 4/2015. We had overalled 12 patients: 8 males and 4 females, the mean patient was 36.33 ± 19.5 years of age (15-71). Dyspepsia 66.7%, bloody stools 100%. Laparoscopic segmental bowel resection in four (33,3%) cases: right hemicolectomy in one (8.3%), resection of transverse colon in one (8.3%), left hemicolectomy in two (16.7%), and totally colorectomy in eight (66.7%) by laparoscopic surgery. The mean post-operative hospital stay was 10.1 ± 3.8 days. The early complication: fistula anastomosis in one (8.3%), patients recovered after conservative treatment, no bleeding and no wound infection. The pathology is adematous polyps 91.7% and hyperplasia polyps 8.3%. Conclusion: Laparoscopic surgery is currently the technique of choice. The resection of colorectal polyposis is the method safe, effective, high success, low rate complications. Key words: laparoscopic, polyposis, colo-rectal polyposis, hemicolectomy

Sign in / Sign up

Export Citation Format

Share Document