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World Journal of Surgery

, Volume 37, Issue 3, pp 652–656 | Cite as

Initial Experience of Single-port Laparoscopic Surgery for Sigmoid Colon Cancer

  • Sun Jin Park
  • Kil Yeon Lee
  • Byung Mo Kang
  • Sung Il Choi
  • Suk Hwan Lee
Article

Abstract

Background

Single-port laparoscopic surgery has attracted attention in the field of minimally invasive colorectal surgery. We hypothesized that an experienced laparoscopic surgeon could perform single-port surgery for colon cancer eligible for conventional laparoscopic anterior resection. Our aim was to analyze our initial experience and immediate surgical outcomes of single-port anterior resection.

Methods

A total of 37 consecutive patients with presumed sigmoid colonic cancer underwent single-port anterior resection with standard laparoscopic instruments between May 2009 and June 2010. Each operation was performed by one of two experienced colorectal surgeons. A cohort of patients who had undergone conventional laparoscopic surgery (CLS) for the same duration a year earlier (August 2007 to September 2008) was used as a historical control. Patient demographics and perioperative outcomes were analyzed and compared with those of CLS.

Results

There were no significant differences in mean estimated blood loss, mean length of the resection margin, or morbidity between the two groups, but operative time for the single-port group was significantly shorter (118 ± 41 vs 140 ± 42 min; p = 0.017). Single-port laparoscopic surgery was successfully performed in 78.4 % (29/37) of the patients treated in 2010, and CLS was successfully completed in all of the patients treated the previous year (p = 0.000). The main causes of single-port surgery failure were adhesion and tumor location.

Conclusions

Single-port anterior resection is a feasible and safe procedure with immediate outcomes comparable to those of conventional laparoscopy. Further studies are required to determine the feasibility of single-port surgery for colonic tumors outside the sigmoid colon and the long-term outcome.

Keywords

Anterior Resection Conventional Laparoscopy Rectosigmoid Colon Sigmoid Colon Cancer Trocar Site Hernia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflict of interest

None

Supplementary material

Supplementary material 1 (MPG 29022 kb)

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Copyright information

© Société Internationale de Chirurgie 2012

Authors and Affiliations

  • Sun Jin Park
    • 1
  • Kil Yeon Lee
    • 1
    • 2
  • Byung Mo Kang
    • 1
  • Sung Il Choi
    • 1
  • Suk Hwan Lee
    • 1
  1. 1.Department of Surgery, School of MedicineKyung Hee UniversitySeoulSouth Korea
  2. 2.Department of SurgeryKyung Hee University HospitalSeoulSouth Korea

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