Short and Long-Term Outcomes of Single Incision Laparoscopic Surgery for Right-Side Colon Cancer
EAES Academy. Hata T. 07/05/22; 363005; P048
Taishi Hata
Contributions
Contributions
Abstract
Background:
There is little data concerning the long-term outcome of single incision laparoscopic surgery (SILS) for colon cancer. Therefore, we investigated not only the short-term outcomes but also the long-term outcomes of SILS for right-side colon cancer.
There were 290 operations conducted for right-side (Cecum and Ascending) colorectal cancers from April 2011 to July 2018. 12 patients planned laparotomy. Of the remaining 278 patients, 55 patients planned conventional laparoscopic surgery, 27 patients planned Reduced poet surgery (RPS) and 196 patients planned SILS respectively. The procedure had been selected by skilled surgeons. One patient underwent intraoperative conversion from SILS to laparotomy for bleeding control. In addition, one port was added to SILS in three cases. These four cases were included in the analysis as SILS group according to the principle of intent to treat.
Background factors, including age, gender, body mass index, performance status, and tumor stage were not statistically different between the SILS and CLS groups. In short-term outcomes, the number of harvested lymph-nodes was not statistically different. SILS required less operating time (P<0.001) and resulted in a reduced bleeding volume (P<0.001). There was no statistical difference in the frequency of overall complications (P=0.06). The disease-free survival of stage 0 to III patients was not statistically different between the two groups.
Conclusions:
Skilled surgeons can achieve adequate oncologic long-term outcomes in selected subgroups of SILS patients. Therefore, SILS could be a treatment option for right-sided colon cancer.
There is little data concerning the long-term outcome of single incision laparoscopic surgery (SILS) for colon cancer. Therefore, we investigated not only the short-term outcomes but also the long-term outcomes of SILS for right-side colon cancer.
There were 290 operations conducted for right-side (Cecum and Ascending) colorectal cancers from April 2011 to July 2018. 12 patients planned laparotomy. Of the remaining 278 patients, 55 patients planned conventional laparoscopic surgery, 27 patients planned Reduced poet surgery (RPS) and 196 patients planned SILS respectively. The procedure had been selected by skilled surgeons. One patient underwent intraoperative conversion from SILS to laparotomy for bleeding control. In addition, one port was added to SILS in three cases. These four cases were included in the analysis as SILS group according to the principle of intent to treat.
Background factors, including age, gender, body mass index, performance status, and tumor stage were not statistically different between the SILS and CLS groups. In short-term outcomes, the number of harvested lymph-nodes was not statistically different. SILS required less operating time (P<0.001) and resulted in a reduced bleeding volume (P<0.001). There was no statistical difference in the frequency of overall complications (P=0.06). The disease-free survival of stage 0 to III patients was not statistically different between the two groups.
Conclusions:
Skilled surgeons can achieve adequate oncologic long-term outcomes in selected subgroups of SILS patients. Therefore, SILS could be a treatment option for right-sided colon cancer.
Background:
There is little data concerning the long-term outcome of single incision laparoscopic surgery (SILS) for colon cancer. Therefore, we investigated not only the short-term outcomes but also the long-term outcomes of SILS for right-side colon cancer.
There were 290 operations conducted for right-side (Cecum and Ascending) colorectal cancers from April 2011 to July 2018. 12 patients planned laparotomy. Of the remaining 278 patients, 55 patients planned conventional laparoscopic surgery, 27 patients planned Reduced poet surgery (RPS) and 196 patients planned SILS respectively. The procedure had been selected by skilled surgeons. One patient underwent intraoperative conversion from SILS to laparotomy for bleeding control. In addition, one port was added to SILS in three cases. These four cases were included in the analysis as SILS group according to the principle of intent to treat.
Background factors, including age, gender, body mass index, performance status, and tumor stage were not statistically different between the SILS and CLS groups. In short-term outcomes, the number of harvested lymph-nodes was not statistically different. SILS required less operating time (P<0.001) and resulted in a reduced bleeding volume (P<0.001). There was no statistical difference in the frequency of overall complications (P=0.06). The disease-free survival of stage 0 to III patients was not statistically different between the two groups.
Conclusions:
Skilled surgeons can achieve adequate oncologic long-term outcomes in selected subgroups of SILS patients. Therefore, SILS could be a treatment option for right-sided colon cancer.
There is little data concerning the long-term outcome of single incision laparoscopic surgery (SILS) for colon cancer. Therefore, we investigated not only the short-term outcomes but also the long-term outcomes of SILS for right-side colon cancer.
There were 290 operations conducted for right-side (Cecum and Ascending) colorectal cancers from April 2011 to July 2018. 12 patients planned laparotomy. Of the remaining 278 patients, 55 patients planned conventional laparoscopic surgery, 27 patients planned Reduced poet surgery (RPS) and 196 patients planned SILS respectively. The procedure had been selected by skilled surgeons. One patient underwent intraoperative conversion from SILS to laparotomy for bleeding control. In addition, one port was added to SILS in three cases. These four cases were included in the analysis as SILS group according to the principle of intent to treat.
Background factors, including age, gender, body mass index, performance status, and tumor stage were not statistically different between the SILS and CLS groups. In short-term outcomes, the number of harvested lymph-nodes was not statistically different. SILS required less operating time (P<0.001) and resulted in a reduced bleeding volume (P<0.001). There was no statistical difference in the frequency of overall complications (P=0.06). The disease-free survival of stage 0 to III patients was not statistically different between the two groups.
Conclusions:
Skilled surgeons can achieve adequate oncologic long-term outcomes in selected subgroups of SILS patients. Therefore, SILS could be a treatment option for right-sided colon cancer.
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