Single-Incision Laparoscopic Colectomy for Cancer: Short-Term Outcomes and Comparative Analysis

Division of Minimally Invasive Colon and Rectal Surgery, Department of Surgery, The University of Texas Medical School at Houston, Houston, TX, USA
Minimally Invasive Surgery 05/2013; 2013(3):283438. DOI: 10.1155/2013/283438
Source: PubMed


Introduction. Single-incision laparoscopic colectomy (SILC) is a viable and safe technique; however, there are no single-institution studies comparing outcomes of SILC for colon cancer with well-established minimally invasive techniques. We evaluated the short-term outcomes following SILC for cancer compared to a group of well-established minimally invasive techniques. Methods. Fifty consecutive patients who underwent SILC for colon cancer were compared to a control group composed of 50 cases of minimally invasive colectomies performed with either conventional multiport or hand-assisted laparoscopic technique. The groups were paired based on the type of procedure. Demographics, intraoperative, and postoperative outcomes were assessed. Results. With the exception of BMI, demographics were similar between both groups. Most of the procedures were right colectomies (n = 33) and anterior resections (n = 12). There were no significant differences in operative time (127.9 versus 126.7 min), conversions (0 versus 1), complications (14% versus 8%), length of stay (4.5 versus 4.0 days), readmissions (2% versus 2%), and reoperations (2% versus 2%). Oncological outcomes were also similar between groups. Conclusions. SILC is an oncologically sound alternative for the management of colon cancer and results in similar short-term outcomes as compared with well-established minimally invasive techniques.

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Available from: Rodrigo Pedraza, Nov 28, 2015
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    • "With regards to survival, Papaconstantinou et al[5]reported that the mean followups were 13 and 21 mo for the SILC and CLC groups, respectively, and that the recurrence rates and diseasefree survivals (DFSs) at 1 year were equivalent in both groups. Yun et al[15]showed that the mean follow-up periods were 24.5 mo for the SILC group and 26.4 mo for the CLC group, and that the recurrence rates and DFSs at 2 years did not differ significantly between the two groups. Comparison of long-term survival following SILC and CLC for colorectal cancer is clearly an important area for future research. "

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