Multidimensional analyses of the learning curve for single-incision plus one port laparoscopic surgery for sigmoid colon and upper rectal cancer

2018 ◽  
Vol 117 (7) ◽  
pp. 1386-1393 ◽  
Author(s):  
Junmeng Li ◽  
Yanan Wang ◽  
Dong Liu ◽  
Haipeng Zhou ◽  
Tingyu Mou ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Learning Curve ◽  
Sigmoid Colon ◽  
Single Incision

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.

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 ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Laparoscopic Surgery ◽  
Sigmoid Colon ◽  
Single Incision ◽  
Sigmoid Colon Cancer ◽  
Single Incision Laparoscopic Surgery

scholarly journals A novel application of learning curve analysis for a basic task in single-incision laparoscopic surgery

2012 ◽  
Vol 10 (8) ◽  
pp. S6
Author(s):  
Mikael Sodergren ◽  
Colleen McGregor ◽  
Hugo Farne ◽  
Sanjay Purkayastha ◽  
Thanos Athanasiou ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Learning Curve ◽  
Single Incision ◽  
Curve Analysis ◽  
Single Incision Laparoscopic Surgery ◽  
Basic Task
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