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 ◽  
...  
2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Toshio Shiraishi ◽  
Tetsuro Tominaga ◽  
Takashi Nonaka ◽  
Kiyoaki Hamada ◽  
Masato Araki ◽  
...  

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.


2017 ◽  
Vol 49 (6) ◽  
pp. 261-265
Author(s):  
Yasumitsu Hirano ◽  
Chikashi Hiranuma ◽  
Masakazu Hattori ◽  
Kenji Douden ◽  
Yasuo Hashizume ◽  
...  

2017 ◽  
Vol 32 (3) ◽  
pp. 1434-1440 ◽  
Author(s):  
Yujiro Nishizawa ◽  
Taishi Hata ◽  
Ichiro Takemasa ◽  
Makoto Yamasaki ◽  
Hiroshi Akasaka ◽  
...  

2010 ◽  
Vol 24 (9) ◽  
pp. 2321-2321 ◽  
Author(s):  
Ichiro Takemasa ◽  
Mitsugu Sekimoto ◽  
Masataka Ikeda ◽  
Tsunekazu Mizushima ◽  
Hirofumi Yamamoto ◽  
...  

Surgery Today ◽  
2017 ◽  
Vol 48 (2) ◽  
pp. 242-247 ◽  
Author(s):  
Kiyoshi Maeda ◽  
Hisashi Nagahara ◽  
Masatsune Shibutani ◽  
Tatsunari Fukuoka ◽  
Shigetomi Nakao ◽  
...  

2016 ◽  
Vol 263 (5) ◽  
pp. 973-978 ◽  
Author(s):  
Jung-A Yun ◽  
Seong Hyeon Yun ◽  
Yoon Ah Park ◽  
Jung Wook Huh ◽  
Yong Beom Cho ◽  
...  

2013 ◽  
Vol 74 (9) ◽  
pp. 2532-2535 ◽  
Author(s):  
Yoshihide NANNO ◽  
Fumitaka NAKAMURA ◽  
Kiyotaka IMAMURA ◽  
Naoya OKADA ◽  
Mayu SHIMAGUCHI ◽  
...  

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