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No inflammatory benefit obtained by single-incision laparoscopic surgery for right hemicolectomy compared with conventional laparoscopy

  • Masayasu HaraEmail author
  • Kazuyoshi Shiga
  • Takeshi Yanagita
  • Nozomu Nakai
  • Nanako Ando
  • Korehito Takasu
  • Yuzo Maeda
  • Takaya Nagasaki
  • Takahisa Hirokawa
  • Yoichi Matsuo
  • Hideyuki Ishiguro
  • Hiroki Takahashi
  • Shuji Takiguchi
Original Article

Abstract

Purpose

We evaluated the perioperative inflammatory mediators in a right hemicolectomy performed with single-incision laparoscopic surgery (SILS) and traditional multi-port laparoscopic surgery (MLS) to compare the postoperative inflammatory response and feasibility of SILS with that of MLS.

Methods

In this retrospective study, we enrolled 56 consecutive colorectal cancer patients who underwent right hemicolectomy prospectively. Twenty patients underwent SILS, and 36 underwent MLS. The preoperative and postoperative levels of plasma vascular endothelial growth factor (VEGF), serum interleukin-6 (IL-6), and C-reactive protein (CRP) as well as the number of platelet cells were measured in all patients. The operation duration, number of harvested lymph nodes, length of the resected bowel, blood loss, and duration of hospital stay were also compared between the two groups.

Results

Neither SILS nor MLS had any conversion cases. The operation duration was longer for MLS than for SILS. Blood loss tended to be lower among patients who underwent SILS than among those who underwent MLS. However, the number of harvested LNs was significantly lower with SILS than with MLS. In both pre- and postoperative blood examinations, there was no marked difference in inflammatory mediators between MLS and SILS.

Conclusion

There was no systemic inflammatory advantage associated with SILS compared with MLS.

Keywords

SILS IL-6 Systemic inflammation Right hemicolectomy 

Notes

Funding

Nothing to declare.

Compliance with ethical standards

Conflict of interest

The authors declare that there are no conflicts of interest regarding the publication of this paper.

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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Masayasu Hara
    • 1
    Email author
  • Kazuyoshi Shiga
    • 1
  • Takeshi Yanagita
    • 1
  • Nozomu Nakai
    • 1
  • Nanako Ando
    • 1
  • Korehito Takasu
    • 1
  • Yuzo Maeda
    • 1
  • Takaya Nagasaki
    • 1
  • Takahisa Hirokawa
    • 1
  • Yoichi Matsuo
    • 1
  • Hideyuki Ishiguro
    • 1
  • Hiroki Takahashi
    • 1
  • Shuji Takiguchi
    • 1
  1. 1.Department of Gastroenterological SurgeryNagoya City UniversityNagoyaJapan

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