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Long-term oncologic outcomes of single-incision laparoscopic surgery for colon cancer

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Abstract

Background

Studies find similar perioperative outcomes between single-incision laparoscopic surgery (SILS) and conventional laparoscopic surgery (CLS) for colon cancer. However, few have reported long-term outcomes of SILS versus CLS. We aimed to compare long-term postoperative and oncologic outcomes as well as perioperative outcomes between SILS and CLS for colon cancer.

Methods

A total of 641 consecutive patients who underwent laparoscopic surgery for colon cancer from July 2009 to September 2014 were eligible for the study. Data from 300 of these patients were used for analysis after propensity score-matching (n = 150 per group). Variables associated with short- and long-term outcomes were analyzed.

Results

The SILS group had a shorter mean total incision length, less postoperative pain, and a similar mean rate of incisional hernia (2.7% versus 3.3%) compared with the CLS group. The 7-year overall and disease-free survival rates were 92.7% versus 94% (p = 0.673) and 85.3% versus 84.7% (p = 0.688) in the SILS and CLS groups, respectively.

Conclusions

Compared with CLS, SILS for colon cancer appeared to be safe in terms of perioperative and long-term postoperative and oncologic outcomes. The results suggested that SILS is a reasonable treatment option for colon cancer for a selected group of patients.

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Acknowledgements

This work was supported by a National Research Foundation of Korea grant funded by the Korea government Ministry of Science and ICT (No. 2020R1C1C1008212).

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Authors and Affiliations

  1. Department of Surgery, Ajou University School of Medicine, 164 Worldcup-ro, Yeongtong-gu, Suwon, 16499, Korea

    Chang Woo Kim

  2. Division of Colon and Rectal Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Korea

    Seung Yoon Yang & Hyuk Hur

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  1. Chang Woo Kim
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Correspondence to Hyuk Hur.

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Drs. Chang Woo Kim, Seung Yoon Yang, and Hyuk Hur have no conflicts of interests or additional financial ties to disclose.

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Meeting presentations: This work was presented as an E-poster at the 27th International Congress of the European Association of Endoscopic Surgery, June 12–15, 2019, Seville, Spain.

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Kim, C.W., Yang, S.Y. & Hur, H. Long-term oncologic outcomes of single-incision laparoscopic surgery for colon cancer. Surg Endosc 36, 3200–3208 (2022). https://doi.org/10.1007/s00464-021-08629-1

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  • DOI: https://doi.org/10.1007/s00464-021-08629-1

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