Original Article

J Minim Invasive Surg 2011; 14(2): 56-60

Published online December 15, 2011

© The Korean Society of Endo-Laparoscopic & Robotic Surgery

단일공 복강경 전방절제술의 초기경험

김우연ㆍ최병조ㆍ이관주ㆍ김세준ㆍ김정구ㆍ이동호ㆍ이상철

가톨릭대학교 대전성모병원 외과

Early Experience of Single-Port Laparoscopic Anterior Resection for Colon Cancer

Woo-Yeon Kim, M.D., Byung-Jo Choi, M.D., Kwan-Ju Lee, M.D., Say-June Kim, M.D., Jeong-Goo Kim, M.D., Dong-Ho Lee, M.D., Sang-Chul Lee, M.D.

Department of Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea, Daejeon, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose: Single-port laparoscopic surgery (SPLS) has recently emerged as a method to improve the morbidity and cosmetic benefit of conventional laparoscopic surgery. We describe our experience of SPLS for an anterior resection (AR). The results of a prospective series of single-port laparoscopic anterior resection procedures are presented.
Methods: Anterior resections were performed on 16 cases using a single-port laparoscopic technique between March 2009 and March 2010. The surgical and oncologic outcomes were recorded on a prospective database.
Results: Sixteen (8 women) unselected patients (eight males, eight females), aged 43∼82 years (median 66.5 years), underwent a SPLS anterior resection for sigmoid colon cancers (median 16 cm above AV, range 13∼27). All patients were alive at 30 days. The surgery time ranged from 150∼415 min (median 242 min) and the median wound incision lengthwas 2.4 cm (range 1.5∼4.0 cm). The median hospital stay was 7.5 days. Pathological reports from the resected specimens revealed adenocarcinoma in 15 patients and mucinous carcinoma in one. There was one case of an anastomotic leak that required reanastomosis. The median number of lymph nodes harvested was 27.5 (range 10∼56).
Conclusion: SPLS is a possible approach to an anterior resection with the potential for minimal access. A SPLS anterior resection is feasible and safe when performed by an experienced laparoscopic surgeon and team. On the other hand, the technique and oncologic safety warrants further prospective randomized studies.

Keywords Single-port laparoscopic surgery (SPLS), Minimally invasive surgery, Colon cancer

Article

Original Article

J Minim Invasive Surg 2011; 14(2): 56-60

Published online December 15, 2011

Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery.

단일공 복강경 전방절제술의 초기경험

김우연ㆍ최병조ㆍ이관주ㆍ김세준ㆍ김정구ㆍ이동호ㆍ이상철

가톨릭대학교 대전성모병원 외과

Early Experience of Single-Port Laparoscopic Anterior Resection for Colon Cancer

Woo-Yeon Kim, M.D., Byung-Jo Choi, M.D., Kwan-Ju Lee, M.D., Say-June Kim, M.D., Jeong-Goo Kim, M.D., Dong-Ho Lee, M.D., Sang-Chul Lee, M.D.

Department of Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea, Daejeon, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose: Single-port laparoscopic surgery (SPLS) has recently emerged as a method to improve the morbidity and cosmetic benefit of conventional laparoscopic surgery. We describe our experience of SPLS for an anterior resection (AR). The results of a prospective series of single-port laparoscopic anterior resection procedures are presented.
Methods: Anterior resections were performed on 16 cases using a single-port laparoscopic technique between March 2009 and March 2010. The surgical and oncologic outcomes were recorded on a prospective database.
Results: Sixteen (8 women) unselected patients (eight males, eight females), aged 43∼82 years (median 66.5 years), underwent a SPLS anterior resection for sigmoid colon cancers (median 16 cm above AV, range 13∼27). All patients were alive at 30 days. The surgery time ranged from 150∼415 min (median 242 min) and the median wound incision lengthwas 2.4 cm (range 1.5∼4.0 cm). The median hospital stay was 7.5 days. Pathological reports from the resected specimens revealed adenocarcinoma in 15 patients and mucinous carcinoma in one. There was one case of an anastomotic leak that required reanastomosis. The median number of lymph nodes harvested was 27.5 (range 10∼56).
Conclusion: SPLS is a possible approach to an anterior resection with the potential for minimal access. A SPLS anterior resection is feasible and safe when performed by an experienced laparoscopic surgeon and team. On the other hand, the technique and oncologic safety warrants further prospective randomized studies.

Keywords: Single-port laparoscopic surgery (SPLS), Minimally invasive surgery, Colon cancer

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