Review Article

J Minim Invasive Surg 2015; 18(4): 93-97

Published online December 15, 2015

https://doi.org/10.7602/jmis.2015.18.4.93

© The Korean Society of Endo-Laparoscopic & Robotic Surgery

우리나라 단일공 대장절제술의 현황

김형진

가톨릭대학교 의과대학 성빈센트병원 외과

Received: December 10, 2015; Accepted: December 10, 2015

Current Status of Single-port Colectomy in Korea

Hyung Jin Kim, M.D., Ph.D.

Department of Surgery, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea

Received: December 10, 2015; Accepted: December 10, 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Single-port surgery is a minimally invasive surgery that uses a single incision for laparoscopic surgery instead of a conventional multiport. The procedure was introduced in the late 1990s after the development of single-ports and special instruments designed for single-port surgery. At first, simple procedures, such as appendectomy and cholecystectomy, were attempted. A single-port colectomy was first reported in 2008 and in Korea in 2010. Since then, many surgeons have performed single-port colectomy and reported it to be safe and compatible with conventional laparoscopic colectomy. Nowadays, a multicenter prospective randomized trial comparing single-port with conventional laparoscopic colectomy is ongoing in Korea. Many modifications from a single-port colectomy have also been tried, such as transanal minimally invasive surgery (TAMIS) and transanal total mesorectal excision (taTME). Now, it is the time to start research to determine the proper indications for these new procedures.

Keywords Laparoscopy, Single-port surgery, Colon, Colectomy, Korea

  1. Kim HJ, Lee JI, Lee YS, et al. Single-port transumbilical laparo- scopic appendectomy: 43 consecutive cases. Surg Endosc 2010;24: 2765-2769.
    Pubmed CrossRef
  2. Kim SJ, Choi BJ, Lee SC. Overview of single-port laparoscopic surgery for colorectal cancers: past, present, and the future. World J Gastroenterol 2014;20:997-1004.
    Pubmed KoreaMed CrossRef
  3. You YK. Consensus Terminology for Single Port Laparoscopic Surgery in Korea. J Korean Soc Endosc Laparosc Surg DE - 2009- 12-01 2009;12:61-62.
  4. Esposito C. One-trocar appendectomy in pediatric surgery. Surg Endosc 1998;12:177-178.
    Pubmed CrossRef
  5. Piskun G, Rajpal S. Transumbilical laparoscopic cholecystectomy utilizes no incisions outside the umbilicus. J Laparoendosc Adv Surg Tech A 1999;9:361-364.
    Pubmed CrossRef
  6. Kaouk JH, Haber GP, Goel RK, et al. Single-port laparoscopic surgery in urology: initial experience. Urology 2008;71:3-6.
    Pubmed CrossRef
  7. Canes D, Desai MM, Aron M, et al. Transumbilical single-port surgery: evolution and current status. Eur Urol 2008;54:1020- 1029.
    Pubmed CrossRef
  8. Kuon Lee S, You YK, Park JH, Kim HJ, Lee KK, Kim DG. Single- port transumbilical laparoscopic cholecystectomy: a pre li minary study in 37 patients with gallbladder disease. J Laparo endosc Adv Surg Tech A 2009;19:495-499.
    Pubmed CrossRef
  9. Kim HJ, Lee JI, Lee SC, et al. Single-Port Laparoscopic Appen- dec tomy. J Korean Surg Soc DE - 2010-05-01 2010;78:338-342.
  10. Kim HJ, Kang BM, Lee SH, et al. Single-port laparoscopic colorectal cancer surgery in Korea: retrospective analysis of the multicenter, pooled database. J Laparoendosc Adv Surg Tech A 2014;24:462-465.
    Pubmed CrossRef
  11. Remzi FH, Kirat HT, Kaouk JH, Geisler DP. Single-port laparoscopy in colorectal surgery. Colorectal Dis 2008;10:823-826.
    Pubmed CrossRef
  12. Bucher P, Pugin F, Morel P. Single port access laparoscopic right hemicolectomy. Int J Colorectal Dis 2008;23:1013-1016.
    Pubmed CrossRef
  13. Remzi FH, Kirat HT, Geisler DP. Laparoscopic single-port colectomy for sigmoid cancer. Tech Coloproctol 2010;14:253-255.
    Pubmed CrossRef
  14. Adair J, Gromski MA, Lim RB, Nagle D. Single-incision laparoscopic right colectomy: experience with 17 consecutive cases and comparison with multiport laparoscopic right colectomy. Dis Colon Rectum 2010;53:1549-1554.
    Pubmed CrossRef
  15. Geisler DP, Condon ET, Remzi FH. Single incision laparoscopic total proctocolectomy with ileopouch anal anastomosis. Colorectal Dis 2010;12:941-943.
    Pubmed CrossRef
  16. Choi SI, Lee KY, Park SJ, Lee SH. Single port laparoscopic right hemicolectomy with D3 dissection for advanced colon cancer. World J Gastroenterol 2010;16:275-278.
    Pubmed KoreaMed CrossRef
  17. Kim SJ, Ryu GO, Choi BJ, et al. The short-term outcomes of conventional and single-port laparoscopic surgery for colorectal cancer. Ann Surg 2011;254:933-940.
    Pubmed CrossRef
  18. Park SJ, Lee KY, Kang BM, Choi SI, Lee SH. Initial experience of single-port laparoscopic surgery for sigmoid colon cancer. World J Surg 2013;37:652-656.
    Pubmed CrossRef
  19. Yun JA, Yun SH, Park YA, et al. Single-incision laparoscopic right colectomy compared with conventional laparoscopy for malignancy: assessment of perioperative and short-term oncologic outcomes. Surg Endosc 2013;27:2122-2130.
    Pubmed CrossRef
  20. Kwag SJ, Kim JG, Oh ST, Kang WK. Single incision vs conventional laparoscopic anterior resection for sigmoid colon cancer: a case-matched study. Am J Surg 2013;206:320-325.
    Pubmed CrossRef
  21. Park JW, Sohn DK, Park S, et al. Safety and efficacy of single- port colectomy for sigmoid colon cancer: a phase II clinical trial. J Laparoendosc Adv Surg Tech A 2013;23:745-750.
    Pubmed CrossRef
  22. Lim SW, Kim HR, Kim YJ. Single incision laparoscopic colectomy for colorectal cancer: comparison with conventional laparoscopic colectomy. Ann Surg Treat Res 2014;87:131-138.
    Pubmed KoreaMed CrossRef
  23. Kim CW, Cho MS, Baek SJ, et al. Oncologic outcomes of single- incision versus conventional laparoscopic anterior resection for sigmoid colon cancer: a propensity-score matching analysis. Ann Surg Oncol 2015;22:924-930.
    Pubmed CrossRef
  24. Choi BJ, Jeong WJ, Kim SJ, Lee SC. Single-port laparoscopic surgery for sigmoid volvulus. World J Gastroenterol 2015;21:2381- 2386.
    Pubmed KoreaMed CrossRef
  25. Yun JA, Kim HC, Park JS, Cho YB, Yun SH, Lee WY. Perio - perative and oncologic outcomes of single-incision laparoscopy compared with conventional laparoscopy for colon cancer: an observational propensity score-matched study. Am Surg 2015;81: 316-323.
    Pubmed

Article

Review Article

J Minim Invasive Surg 2015; 18(4): 93-97

Published online December 15, 2015 https://doi.org/10.7602/jmis.2015.18.4.93

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

우리나라 단일공 대장절제술의 현황

김형진

가톨릭대학교 의과대학 성빈센트병원 외과

Received: December 10, 2015; Accepted: December 10, 2015

Current Status of Single-port Colectomy in Korea

Hyung Jin Kim, M.D., Ph.D.

Department of Surgery, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea

Received: December 10, 2015; Accepted: December 10, 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Single-port surgery is a minimally invasive surgery that uses a single incision for laparoscopic surgery instead of a conventional multiport. The procedure was introduced in the late 1990s after the development of single-ports and special instruments designed for single-port surgery. At first, simple procedures, such as appendectomy and cholecystectomy, were attempted. A single-port colectomy was first reported in 2008 and in Korea in 2010. Since then, many surgeons have performed single-port colectomy and reported it to be safe and compatible with conventional laparoscopic colectomy. Nowadays, a multicenter prospective randomized trial comparing single-port with conventional laparoscopic colectomy is ongoing in Korea. Many modifications from a single-port colectomy have also been tried, such as transanal minimally invasive surgery (TAMIS) and transanal total mesorectal excision (taTME). Now, it is the time to start research to determine the proper indications for these new procedures.

Keywords: Laparoscopy, Single-port surgery, Colon, Colectomy, Korea

References

  1. Kim HJ, Lee JI, Lee YS, et al. Single-port transumbilical laparo- scopic appendectomy: 43 consecutive cases. Surg Endosc 2010;24: 2765-2769.
    Pubmed CrossRef
  2. Kim SJ, Choi BJ, Lee SC. Overview of single-port laparoscopic surgery for colorectal cancers: past, present, and the future. World J Gastroenterol 2014;20:997-1004.
    Pubmed KoreaMed CrossRef
  3. You YK. Consensus Terminology for Single Port Laparoscopic Surgery in Korea. J Korean Soc Endosc Laparosc Surg DE - 2009- 12-01 2009;12:61-62.
  4. Esposito C. One-trocar appendectomy in pediatric surgery. Surg Endosc 1998;12:177-178.
    Pubmed CrossRef
  5. Piskun G, Rajpal S. Transumbilical laparoscopic cholecystectomy utilizes no incisions outside the umbilicus. J Laparoendosc Adv Surg Tech A 1999;9:361-364.
    Pubmed CrossRef
  6. Kaouk JH, Haber GP, Goel RK, et al. Single-port laparoscopic surgery in urology: initial experience. Urology 2008;71:3-6.
    Pubmed CrossRef
  7. Canes D, Desai MM, Aron M, et al. Transumbilical single-port surgery: evolution and current status. Eur Urol 2008;54:1020- 1029.
    Pubmed CrossRef
  8. Kuon Lee S, You YK, Park JH, Kim HJ, Lee KK, Kim DG. Single- port transumbilical laparoscopic cholecystectomy: a pre li minary study in 37 patients with gallbladder disease. J Laparo endosc Adv Surg Tech A 2009;19:495-499.
    Pubmed CrossRef
  9. Kim HJ, Lee JI, Lee SC, et al. Single-Port Laparoscopic Appen- dec tomy. J Korean Surg Soc DE - 2010-05-01 2010;78:338-342.
  10. Kim HJ, Kang BM, Lee SH, et al. Single-port laparoscopic colorectal cancer surgery in Korea: retrospective analysis of the multicenter, pooled database. J Laparoendosc Adv Surg Tech A 2014;24:462-465.
    Pubmed CrossRef
  11. Remzi FH, Kirat HT, Kaouk JH, Geisler DP. Single-port laparoscopy in colorectal surgery. Colorectal Dis 2008;10:823-826.
    Pubmed CrossRef
  12. Bucher P, Pugin F, Morel P. Single port access laparoscopic right hemicolectomy. Int J Colorectal Dis 2008;23:1013-1016.
    Pubmed CrossRef
  13. Remzi FH, Kirat HT, Geisler DP. Laparoscopic single-port colectomy for sigmoid cancer. Tech Coloproctol 2010;14:253-255.
    Pubmed CrossRef
  14. Adair J, Gromski MA, Lim RB, Nagle D. Single-incision laparoscopic right colectomy: experience with 17 consecutive cases and comparison with multiport laparoscopic right colectomy. Dis Colon Rectum 2010;53:1549-1554.
    Pubmed CrossRef
  15. Geisler DP, Condon ET, Remzi FH. Single incision laparoscopic total proctocolectomy with ileopouch anal anastomosis. Colorectal Dis 2010;12:941-943.
    Pubmed CrossRef
  16. Choi SI, Lee KY, Park SJ, Lee SH. Single port laparoscopic right hemicolectomy with D3 dissection for advanced colon cancer. World J Gastroenterol 2010;16:275-278.
    Pubmed KoreaMed CrossRef
  17. Kim SJ, Ryu GO, Choi BJ, et al. The short-term outcomes of conventional and single-port laparoscopic surgery for colorectal cancer. Ann Surg 2011;254:933-940.
    Pubmed CrossRef
  18. Park SJ, Lee KY, Kang BM, Choi SI, Lee SH. Initial experience of single-port laparoscopic surgery for sigmoid colon cancer. World J Surg 2013;37:652-656.
    Pubmed CrossRef
  19. Yun JA, Yun SH, Park YA, et al. Single-incision laparoscopic right colectomy compared with conventional laparoscopy for malignancy: assessment of perioperative and short-term oncologic outcomes. Surg Endosc 2013;27:2122-2130.
    Pubmed CrossRef
  20. Kwag SJ, Kim JG, Oh ST, Kang WK. Single incision vs conventional laparoscopic anterior resection for sigmoid colon cancer: a case-matched study. Am J Surg 2013;206:320-325.
    Pubmed CrossRef
  21. Park JW, Sohn DK, Park S, et al. Safety and efficacy of single- port colectomy for sigmoid colon cancer: a phase II clinical trial. J Laparoendosc Adv Surg Tech A 2013;23:745-750.
    Pubmed CrossRef
  22. Lim SW, Kim HR, Kim YJ. Single incision laparoscopic colectomy for colorectal cancer: comparison with conventional laparoscopic colectomy. Ann Surg Treat Res 2014;87:131-138.
    Pubmed KoreaMed CrossRef
  23. Kim CW, Cho MS, Baek SJ, et al. Oncologic outcomes of single- incision versus conventional laparoscopic anterior resection for sigmoid colon cancer: a propensity-score matching analysis. Ann Surg Oncol 2015;22:924-930.
    Pubmed CrossRef
  24. Choi BJ, Jeong WJ, Kim SJ, Lee SC. Single-port laparoscopic surgery for sigmoid volvulus. World J Gastroenterol 2015;21:2381- 2386.
    Pubmed KoreaMed CrossRef
  25. Yun JA, Kim HC, Park JS, Cho YB, Yun SH, Lee WY. Perio - perative and oncologic outcomes of single-incision laparoscopy compared with conventional laparoscopy for colon cancer: an observational propensity score-matched study. Am Surg 2015;81: 316-323.
    Pubmed

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