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Single-Incision Laparoscopic Right Hemi-Colectomy: a Systematic Review

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Abstract

As surgeons became more adept with laparoscopic colon surgery, other less invasive procedures, such as single-incision laparoscopic right hemi-colectomy (SIL-RH), have been applied. The objective of this study was to evaluate the safety of SIL-RH as well as its intraoperative and postoperative outcomes for right-sided colon diseases. A detailed search in PubMed for citations that included SIL-RH from 2000 to 2014 revealed 21 studies fulfilling the criteria of the present review. A total of 684 patients were analyzed. Of the patients, 50.2 % were men. Mean patient age was 64.8 years. Of the patients, 36.1 % had already undergone an abdominal operation before the performance of SIL-RH, while 69 % of the patients underwent SIL-RH for colon cancer. Relatively low rates of overall morbidity (15 %) and mortality (0.75 %) were reported in the included studies. Mean length of postoperative hospital stay (LOS) was 5.5 days. Bowel motility return had a mean value of 2.8 days. Mean number of harvested lymph nodes (LN) was 19.2 LN. All resection margins were tumor-free. SIL-RH was a safe alternative to multiport laparoscopic right hemi-colectomy (ML-RH) in terms of morbidity and mortality, postoperative gastrointestinal function recovery, LOS, as well as oncological radicalness.

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References

  1. Wexner SD, Reissman P, Pfeifer J, Bernstein M, Geron N (1996) Laparoscopic colorectal surgery: analysis of 140 cases. Surg Endosc 10(2):133–136

    Article  PubMed  CAS  Google Scholar 

  2. Okabayashi K, Hasegawa H, Watanabe M, Nishibori H, Ishii Y, Hibi T et al (2007) Indications for laparoscopic surgery for Crohn’s disease using the Vienna classification. Color Dis 9:825–829

    Article  CAS  Google Scholar 

  3. Hildebrandt U, Kessler K, Plusczyk T, Pistorius G, Vollmar B, Menger MD et al (2003) Comparison of surgical stress between laparoscopic and open colonic resections. Surg Endosc 17:242–246

    Article  PubMed  CAS  Google Scholar 

  4. Bonjer HJ, Hop WC, Nelson H, Sargent DJ, Lacy AM, Castells A et al (2007) Laparoscopically assisted vs open colectomy for colon cancer: a meta-analysis. Arch Surg 142:298–303

    Article  PubMed  Google Scholar 

  5. Pahlman L (2004) A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med 350:2050–2059

    Article  Google Scholar 

  6. Rao PP, Bhagwat SM, Rane A (2008) The feasibility of single port laparoscopic cholecystectomy: a pilot study of 20 cases. HPB (Oxf) 10:336–340

    Article  Google Scholar 

  7. Rispoli G, Armellino MF, Esposito C (2002) One-trocar appendectomy. Surg Endosc 16:833–835

    Article  PubMed  CAS  Google Scholar 

  8. Kaouk JH, Haber GP, Goel RK, Desai MM, Aron M, Rackley RR et al (2008) Single-port laparoscopic surgery in urology: initial experience. Urology 71:3–6

    Article  PubMed  Google Scholar 

  9. Bucher P, Pugin F, Morel P (2008) Single port access laparoscopic right hemicolectomy. Int J Color Dis 23:1013–1016

    Article  Google Scholar 

  10. Remzi FH, Kirat HT, Geisler DP (2010) Laparoscopic single-port colectomy for sigmoid cancer. Tech Coloproctol 14:253–255

    Article  PubMed  CAS  Google Scholar 

  11. Merchant AM, Lin E (2009) Single-incision laparoscopic right hemicolectomy for a colon mass. Dis Colon Rectum 52:1021–1024

    Article  PubMed  Google Scholar 

  12. Remzi FH, Kirat HT, Kaouk JH, Geisler DP (2008) Single-port laparoscopy in colorectal surgery. Color Dis 10:823–826

    Article  CAS  Google Scholar 

  13. Ramos-Valadez DI, Patel CB, Ragupathi M, Bartley Pickron T, Haas EM (2010) Single-incision laparoscopic right hemicolectomy: safety and feasibility in a series of consecutive cases. Surg Endosc 24(10):2613–2616

    Article  PubMed  Google Scholar 

  14. Boni L, Dionigi G, Cassinotti E, Di Giuseppe M, Diuni M, Rausei S et al (2010) Single incision laparoscopic right colectomy. Surg Endosc 24(12):3233–3236

    Article  PubMed  Google Scholar 

  15. Lim YK, Nq KH, Eu KW (2010) Single site laparoscopic right hemicolectomy: an oncological feasible option. World J Surg Oncol 8:79

    Article  PubMed  PubMed Central  Google Scholar 

  16. Adair J, Gromski M, Lim R, Nagle D (2010) Single-incision laparoscopic right colectomy: experience with 17 consecutive cases and comparison with multiport laparoscopic right colectomy. Dis Colon Rectum 53:1549–1554

    Article  PubMed  Google Scholar 

  17. Chen WT, Chang SC, Chiang HC, Lo WY, Jenq LB, Wu C et al (2011) Single-incision laparoscopic versus conventional laparoscopic right hemicolectomy: a comparison of short-term surgical results. Surg Endosc 25(6):1887–1892

    Article  PubMed  Google Scholar 

  18. Papaconstantinou HT, Sharp N, Thomas JS (2011) Single-incision laparoscopic right colectomy: a case-matched comparison with standard laparoscopic and hand-assisted laparoscopic techniques. J Am Coll Surg 213(1):72–80, discussion 80–2

    Article  PubMed  Google Scholar 

  19. Lai CW, Edwards TJ, Clements DM, Coleman MG (2012) Single port laparoscopic right colonic resection using a ‘vessel-first’ approach. Color Dis 14(9):1138–1144

    Article  CAS  Google Scholar 

  20. Waters JA, Rapp BM, Guzman MJ, Jester AL, Selzer DJ, Robb BW et al (2012) Single-port laparoscopic right hemicolectomy: the first 100 resections. Dis Colon Rectum 55:134–139

    Article  PubMed  Google Scholar 

  21. Ceppa EP, Park CW, Portenier DD, Pryor AD (2012) Single-incision laparoscopic right colectomy: an efficient technique. Surg Laparosc Endosc Percutan Tech 22(2):88–94

    Article  PubMed  Google Scholar 

  22. Egi H, Hattori M, Hinoi T, Takakura Y, Kawaguchi Y, Shimomura M et al (2012) Single-port laparoscopic colectomy versus conventional laparoscopic colectomy for colon cancer: a comparison of surgical results. World J Surg Oncol 10:61

    Article  PubMed  PubMed Central  Google Scholar 

  23. Morales-Conde S, Barranco A, Socas M, Mendez C, Alarcon I, Canete J et al (2012) Improving the advantages of single port in right hemicolectomy: analysis of the results of pure transumbilical approach with intracorporeal anastomosis. Minim Invasive Surg 2012:874172

    PubMed  PubMed Central  Google Scholar 

  24. Boone BA, Wagner P, Ganchuk E, Evans L, Zeh HJ, Bartlett DL (2012) Single-incision laparoscopic right colectomy in an unselected patient population. Surg Endosc 26(6):1595–1601

    Article  PubMed  Google Scholar 

  25. Mufty H, Hillewaere S, Appeltans B, Houben B (2012) Single-incision right hemicolectomy for malignancy: a feasible technique with standard laparoscopic instrumentation. Color Dis 14(11):764–770

    Article  Google Scholar 

  26. Currò G, Cogliandolo A, Lazzara S, La Malfa G, Navarra G (2012) Single-incision versus three-port conventional laparoscopic right hemicolectomy: is there any real need to go single? J Laparoendosc Adv Surg Tech A 22(7):621–624

    Article  PubMed  Google Scholar 

  27. Velthuis S, van den Boezem PB, Lips DJ, Prins HA, Cuesta MA, Sietses C (2012) Comparison of short-term surgical outcomes after single-incision laparoscopic versus multiport laparoscopic right colectomy: a two-center, prospective case-controlled study of 100 patients. Dig Surg 29(6):477–483

    Article  PubMed  Google Scholar 

  28. Yun JA, Yun SH, Park YA, Cho YB, Kim HC, Lee WY et al (2013) Single-incision laparoscopic right colectomy compared with conventional laparoscopy for malignancy: assessment of perioperative and short-term oncologic outcomes. Surg Endosc 27(6):2122–2130

    Article  PubMed  Google Scholar 

  29. Chew MH, Chang MH, Tan WS, Wong MT, Tang CL (2013) Conventional laparoscopic versus single-incision laparoscopic right hemicolectomy: a case cohort comparison of short-term outcomes in 144 consecutive cases. Surg Endosc 27(2):471–477

    Article  PubMed  Google Scholar 

  30. Vestweber B, Galetin T, Lammerting K, Paul C, Giehl J, Straub E et al (2013) Single-incision laparoscopic surgery: outcomes from 224 colonic resections performed at a single center using SILS. Surg Endosc 27(2):434–442

    Article  PubMed  Google Scholar 

  31. Haas EM, Nieto J, Ragupathi M, Aminian A, Patel CB (2013) Critical appraisal of learning curve for single incision laparoscopic right colectomy. Surg Endosc 27(12):4499–4503

    Article  PubMed  Google Scholar 

  32. Keshava A, Young CJ, Richardson GL, De-Loyde K (2013) A historical comparison of single incision and conventional multiport laparoscopic right hemicolectomy. Color Dis 15(10):618–622

    Article  Google Scholar 

  33. Lin YM, Chen HH, Chen YJ, Chen PH, Lu CC (2013) Single-incision laparoscopic colectomy using self-made glove port for benign colon diseases. J Laparoendosc Adv Surg Tech A 23(11):932–937

    Article  PubMed  Google Scholar 

  34. Owens WD, Felts JA, Spitznagel EL Jr (1978) ASA physical status classifications: a study of consistency of ratings. Anesthesiology 49:239–243

    Article  PubMed  CAS  Google Scholar 

  35. Edge SB, Byrd DR, Compton CC et al. (2010) AJCC cancer staging manual 7th ed. 143–64

  36. Ding J, Liao GQ, Xia Y, Zhang ZM, Liu S, Yan ZS (2013) Laparoscopic versus open right hemicolectomy for colon cancer: a meta-analysis. J Laparoendosc Adv Surg Tech A 23(1):8–16

    Article  PubMed  Google Scholar 

  37. Choy PY, Bissett IP, Docherty JG, Parry BR, Merrie A, Fitzgerald A (2011) Stapled versus handsewn methods for ileocolic anastomoses. Cochrane Database Syst Rev 9:CD004320

    PubMed  Google Scholar 

  38. Bergamaschi R, Schochet E, Haughn C, Burke M, Reed JF, Arnaud JP (2008) Standardized laparoscopic intracorporeal right colectomy for cancer: short-term outcome in 111 unselected patients. Dis Colon Rectum 51(9):1350–1355

    Article  PubMed  Google Scholar 

  39. Casciola L, Ceccarelli G, Di Zitti L, Valeri R, Bellochi R, Bartoli A et al (2003) Laparoscopic right hemicolectomy with intracorporeal anastomosis. Technical aspects and personal experience. Minerva Chir 58(4):621–627

    PubMed  CAS  Google Scholar 

  40. Lang RA, Hüttl TP, Winter H, Meyer G, Jauch KW (2005) How safe are laparoscopic intracorporeal anastomoses? Zentralbl Chir 130(1):65–70

    Article  PubMed  CAS  Google Scholar 

  41. Feroci F, Lenzi E, Garzi A, Vannucchi A, Cantafio S, Scatizzi M (2013) Intracorporeal versus extracorporeal anastomosis after laparoscopic right hemicolectomy for cancer: a systematic review and meta-analysis. Int J Color Dis 28:1177–1186

    Article  Google Scholar 

  42. Cirocchi R, Trastulli S, Farinella E, Guarino S, Desiderio J, Boselli C et al (2013) Intracorporeal versus extracorporeal anastomosis during laparoscopic right hemicolectomy—systematic review and meta-analysis. Surg Oncol 22(1):1–13

    Article  PubMed  Google Scholar 

  43. Rottoli M, Bona S, Rosati R, Elmore U, Bianchi PP, Spinelli A et al (2009) Laparoscopic rectal resection for cancer: effects of conversion on short-term outcome and survival. Ann Surg Oncol 16:1279–1286

    Article  PubMed  Google Scholar 

  44. Gonzalez R, Smith CD, Mason E, Duncan T, Wilson R, Miller J et al (2006) Consequences of conversion in laparoscopic colorectal surgery. Dis Colon Rectum 49:197–204

    Article  PubMed  Google Scholar 

  45. Vettoretto N, Cirocchi R, Randolph J, Parisi A, Farinella E, Romano G (2014) Single incision laparoscopic right colectomy: a systematic review and meta-analysis. Color Dis 16(4):O123–O132

    Article  CAS  Google Scholar 

  46. Aziz O, Constantinides V, Tekkis PP, Athanasiou T, Purkayastha S, Paraskeva P et al (2006) Laparoscopic versus open surgery for rectal cancer: a meta-analysis. Ann Surg Oncol 13(3):413–424

    Article  PubMed  Google Scholar 

  47. Ross H, Steele S, Whiteford M, Lee S, Albert M, Mutch M et al (2011) Early multi-institution experience with single-incision laparoscopic colectomy. Dis Colon Rectum 54(2):187–192

    Article  PubMed  CAS  Google Scholar 

  48. Pietrasanta D, Romano N, Prosperi V, Lorenzetti L, Basili G, Goletti O (2010) Single-incision laparoscopic right colectomy for cancer: a single-centre preliminary experience. Updat Surg 62(2):111–115

    Article  Google Scholar 

  49. Gandhi DP, Ragupathi M, Patel CB, Ramos-Valadez DI, Pickron TB, Haas EM (2010) Single-incision versus hand-assisted laparoscopic colectomy: a case-matched series. J Gastrointest Surg 14(12):1875–1880

    Article  PubMed  Google Scholar 

  50. Schwenk W, Haase O, Neudecker J, Muller JM (2005) Short-term benefits for laparoscopic colorectal resection. Cochrane Database Syst Rev 3:CD003145

    PubMed  Google Scholar 

  51. The Clinical Outcomes of Surgical Therapy Study Group (2004) A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med 350:2050–2059

    Article  Google Scholar 

  52. Lacy AM, García-Valdecasas JC, Delgado S, Castells A, Taurá P, Piqué JM et al (2002) Laparoscopy-assisted colectomy versus open colectomy for treatment of nonmetastatic colon cancer: a randomised trial. Lancet 359:2224–2229

    Article  PubMed  Google Scholar 

  53. Guillou PJ, Quirke P, Thorpe H, Walker J, Jayne DG, Smith AMH et al (2005) Short-term end points of conventional versus laparoscopic- assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet 365:1718–1726

    Article  PubMed  Google Scholar 

  54. King PM, Blazeby JM, Ewings P, Franks PJ, Longman RJ, Kendrick AH, Kipling RM, Kennedy RH (2006) Randomized clinical trial comparing laparoscopic and open surgery for colo-rectal cancer within an accelerated recovery programme. Br J Surg 93:300–308

    Article  PubMed  CAS  Google Scholar 

  55. Abdel-Halim MR, Moore HM, Cohen P, Dawson P, Buchanan GN (2010) Impact of laparoscopic right hemicolectomy for colon cancer. Ann R Coll Surg Engl 92:211–217

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  56. Lohsiriwat V, Lohsiriwat D, Chinswangwatanakul V, Akaraviputh T, Lert-Akyamanee N (2007) Comparison of short-term outcomes between laparoscopically-assisted vs transverse-incision open right hemicolectomy for right-sided colon cancer: a retrospective study. World J Surg Oncol 5:49

    Article  PubMed  PubMed Central  Google Scholar 

  57. Zheng MH, Feng B, Lu AG, Li JW, Wang ML, Mao ZH et al (2005) Laparoscopic versus open right hemicolectomy with curative intent for colon carcinoma. World J Gastroenterol 11:323–326

    Article  PubMed  PubMed Central  Google Scholar 

  58. Baker RP, Titu LV, Hartley JE, Lee PW, Monson JR (2004) A case–control study of laparoscopic right hemicolectomy vs. open right hemi- colectomy. Dis Colon Rectum 47:1675–1679

    Article  PubMed  Google Scholar 

  59. Leung KL, Meng WC, Lee JF, Thung KH, Lai PB, Lau WY (1999) Laparoscopic-assisted resection of right-sided colonic carcinoma: a case–control study. J Surg Oncol 71:97–100

    Article  PubMed  CAS  Google Scholar 

  60. Tong DK, Fan JK, Law WL (2008) Outcome of laparoscopic colorectal resection. Surgeon 6(6):357–360

    Article  PubMed  CAS  Google Scholar 

  61. Kuhry E, Schwenk W, Gaupset R, Romild U, Bonjer J (2008) Long-term outcome of laparoscopic surgery for colorectal cancer: a Cochrane systematic review of randomised controlled trials. J Cancer Treat Rev 34(6):498–504

    Article  Google Scholar 

  62. Jackson TD, Kaplan GG, Arena G, Page JH, Rogers SO Jr (2007) Laparoscopic versus open resection for colorectal cancer: a metaanalysis of oncologic outcomes. J Am Coll Surg 204(3):439–446

    Article  PubMed  Google Scholar 

  63. Reza MM, Blasco JA, Andradas E, Cantero R, Mayol J (2006) Systematic review of laparoscopic versus open surgery for colorectal cancer. Br J Surg 93:921–928

    Article  PubMed  CAS  Google Scholar 

  64. Abraham NS, Byrne CM, Young JM, Solomon MJ (2007) Meta-analysis of non-randomized comparative studies of the short-term outcomes of laparoscopic resection for colorectal cancer. ANZ J Surg 77:508–516

    Article  PubMed  Google Scholar 

  65. Abraham NS, Young JM, Solomon MJ (2004) Meta-analysis of short-term outcomes after laparoscopic resection for colorectal cancer. Br J Surg 91:1111–1124

    Article  PubMed  CAS  Google Scholar 

  66. Veldkamp R, Kuhry E, Hop WC, Jeekel J, Kazemier G, Bonjer HJ, Colon Cancer Laparoscopic or Open Resection Study Group (COLOR) et al (2005) Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial. Lancet Oncol 6:477–484

    Article  PubMed  Google Scholar 

  67. Sobin LH, Greene FL (2001) TNM classification: clarification of number of regional nodes for pN0. Cancer 92:452

    Article  PubMed  CAS  Google Scholar 

  68. Wittekind CH, Wagner G (1997) TNM-classification of malignant tumors. Colon and rectum. Springer, New York, pp 64–67

    Google Scholar 

  69. Nelson H, Petrelli N, Carlin A, Couture J, Fleshman J, Guillem J et al (2001) Guidelines 2000 for colon and rectal cancer surgery. J Natl Cancer Inst 93:583–596

    Article  PubMed  CAS  Google Scholar 

  70. Compton CC, Fielding LP, Burgart LJ, Conley B, Cooper HS, Hamilton SR et al (2000) Prognostic factors in colorectal cancer: College of American Pathologists consensus statement 1999. Arch Pathol Lab Med 124:979–994

    PubMed  CAS  Google Scholar 

  71. Makino T, Milsom JW, Lee SW (2012) Feasibility and safety of single-incision laparoscopic colectomy: a systematic review. Ann Surg 255(4):667–676

    Article  PubMed  Google Scholar 

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Conflict of Interest

Apostolou KG, Orfanos SV, Papalois AE, Felekouras ES, Zografos GC, and Liakakos T declare that they have no conflict of interest.

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Authors and Affiliations

  1. 1st Department of Surgery, General Hospital of Athens Laiko, Athens School of Medicine, University of Athens, Agiou Thoma 17, 11527, Athens, Greece

    K. G. Apostolou, S. V. Orfanos, E. S. Felekouras & T. Liakakos

  2. 1st Department of Propaedeutic Surgery, Athens Medical School, Hippocration Hospital of Athens, Athens, Greece

    A. E. Papalois & G. C. Zografos

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  1. K. G. Apostolou
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  2. S. V. Orfanos
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  3. A. E. Papalois
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Correspondence to K. G. Apostolou.

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Apostolou, K.G., Orfanos, S.V., Papalois, A.E. et al. Single-Incision Laparoscopic Right Hemi-Colectomy: a Systematic Review. Indian J Surg 77, 301–312 (2015). https://doi.org/10.1007/s12262-015-1282-z

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