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Long-term Oncologic Outcomes of Single-Incision Plus One-Port Laparoscopic Surgery for Rectal Cancer

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Abstract

Single-incision plus one-port laparoscopic surgery (SILS+1) for rectal cancer reduces technical difficulties of pure single-incision laparoscopic surgery (SILS) keeping good cosmetic results. However, the adequate long-term oncological outcomes of SILS+1 for rectal cancer were not documented in the literature. Data from 136 patients (86 males) who performed an elective surgery with SILS+1 for stage I to III rectal cancer were reviewed, and its 5-year oncologic outcomes were evaluated. The median follow-up period was 57 months. A total of 18 patients (13.3%) experienced recurrence, including two peritoneum and three local recurrences. In these five patients, four patients except one patient with relapse at an anastomotic site were pT4 patients. The 5-year overall survival for stage I, II, and III patients were 98.1, 91.2, and 88.5%, respectively, and the 5-year cancer-specific survival for stage I, II, and III patients was 100, 97.1, and 97.8%, respectively. The long-term oncological safety of SILS+1 for rectal cancer was demonstrated with an excellent 5-year cancer-specific survival.

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Acknowledgments

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Gastroenterological Surgery, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka, Saitama, 350-1298, Japan

    Yasumitsu Hirano

  2. Department of Surgery, Fukui Prefectural Hospital, 2-8-1 Yotsui, Fukui, 910-8526, Japan

    Yasumitsu Hirano, Chikashi Hiranuma, Masakazu Hattori & Kenji Douden

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  1. Yasumitsu Hirano
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  2. Chikashi Hiranuma
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  3. Masakazu Hattori
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  4. Kenji Douden
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Correspondence to Yasumitsu Hirano.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Hirano, Y., Hiranuma, C., Hattori, M. et al. Long-term Oncologic Outcomes of Single-Incision Plus One-Port Laparoscopic Surgery for Rectal Cancer. Indian J Surg 83, 691–695 (2021). https://doi.org/10.1007/s12262-020-02465-8

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  • DOI: https://doi.org/10.1007/s12262-020-02465-8

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