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Surgical Endoscopy

, Volume 28, Issue 10, pp 2920–2930 | Cite as

Successful total shift from multiport to single-port laparoscopic surgery in low anterior resection of colorectal cancer

  • Say-June Kim
  • Byung-Jo Choi
  • Sang Chul Lee
Article

Abstract

Objective

To assess the possibility of using single-port low anterior resection (LAR) in place of conventional laparoscopic LAR.

Background

Though single-port LS is gradually evolving, the application of single-port LS techniques in LAR have been viewed with skepticism due to technical difficulties.

Methods

Data from patients who had undergone either conventional laparoscopic LAR (n = 49) or single-port LAR (n = 67) for colorectal cancers between March 2006 and March 2013 were analyzed retrospectively.

Results

In single-port LAR group, oncologic outcomes were satisfactory with respect to attainment of lymph nodes (23.4 ± 15.3) and surgical margins (proximal cut margin: 7.1 ± 4.6 cm, distal cut margin: 7.7 ± 5.7 cm). Single-port LAR showed acceptable clinical outcomes manifested by comparable outcomes of post-operative analgesics requirement and length of hospital stay, and by low incidence of post-operative complications (conventional laparoscopic LAR group: 30.6 % vs. single-port LAR group: 14.9 %; P < 0.01). Operative time was comparable between groups (conventional laparoscopic LAR group: 309 ± 93 min vs. single-port LAR group: 277 ± 106 min; P = 0.097). Throughout a series of 67 consecutive single-port LARs, no conversion to multiport or open surgery was occurred.

Conclusion

This study shows that single-port LAR is both safe and feasible for use in resection of colorectal cancer when performed by surgeons who are trained in conventional laparoscopic technique. If further and more extensive studies support our results, then single-port LAR can be an acceptable alternative to conventional laparoscopic LAR for treatment of colorectal cancer.

Keywords

Colorectal neoplasm Laparoscopy Low anterior resection Single-port laparoscopic surgery Total mesorectal excision (TME) 

Notes

Disclosures

Drs. Say-June Kim, Byung-jo Choi, and Sang Chul Lee have no conflicts of interest or financial ties to disclose.

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of Surgery, Daejeon St. Mary’s HospitalThe Catholic University of KoreaDaejeonRepublic of Korea

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