Single-port laparoscopic colectomy versus conventional laparoscopic colectomy for colon cancer: a comparison of surgical results

Hiroyuki Egi,Yuji Takakura,Takashi Urushihara,Minoru Hattori,Masakazu Tokunaga,Manabu Shimomura,Tomohiro Adachi,Takao Hinoi,Yasuo Kawaguchi,Toshiyuki Itamoto,Hideki Ohdan

doi:10.1186/1477-7819-10-61

Abstract

BackgroundSingle-port laparoscopic surgery is a new technique that leaves no visible scar. This new technique has generated strong interest among surgeons worldwide. However, single-port laparoscopic colon surgery has not yet been standardized. Our aim in this study was to evaluate the feasibility of single-port laparoscopic colectomy compared with conventional laparoscopic colectomy for colon cancer.MethodsWe conducted a case-matched, controlled study comparing single-port laparoscopic colectomy to conventional laparoscopic colectomy for right-sided colon cancer.ResultsA total of ten patients were included for the single-port laparoscopic colectomy (S-LAC) group and ten patients for the conventional laparoscopic colectomy (C-LAC) group. The length of the skin incision in the S-LAC group was significantly shorter than that of the C-LAC group.ConclusionOur early experiences indicated that S-LAC for right-sided colon cancer is a feasible and safe procedure and that S-LAC results in a better cosmetic outcome.

Highlights

Single-port laparoscopic surgery is a new technique that leaves no visible scar
Our aim in this study was to evaluate the feasibility of single-port laparoscopic colectomy compared with conventional laparoscopic colectomy for colon cancer which requires D2 lymph node dissection
Twenty patients (8 males and 12 females) were enrolled in this study, and they were distributed into two groups: single-port laparoscopic colectomy (S-LAC) and conventional laparoscopic colectomy (C-LAC)

Summary

Introduction

Single-port laparoscopic surgery is a new technique that leaves no visible scar. This new technique has generated strong interest among surgeons worldwide. Single-port laparoscopic colon surgery has not yet been standardized. Our aim in this study was to evaluate the feasibility of single-port laparoscopic colectomy compared with conventional laparoscopic colectomy for colon cancer. Natural orifice transluminal endoscopic surgery (NOTES) has been studied as the generation of minimally invasive surgery. This new technique was described for the first time by Kalloo et al, who introduced their work performing transgastric peritoneoscopy in a porcine model [4].

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Discussion

Conclusion