Reduced-port laparoscopic surgery for a tumor-specific mesorectal excision in patients with colorectal cancer: initial experience with 20 consecutive cases

Annals of Coloproctology
Sung Uk BaeHyuk Hur

Abstract

Single-port plus one-port, reduced-port laparoscopic surgery (RPLS) may decrease collisions between laparoscopic instruments and the camera in a narrow, bony, pelvic cavity while maintaining the cosmetic advantages of single-incision laparoscopic surgery. The aim of this study is to describe our initial experience with and to assess the feasibility and safety of RPLS for tumor-specific mesorectal excisions (TSMEs) in patients with colorectal cancer. Between May 2010 and August 2012, RPLS for TSME was performed in 20 patients with colorectal cancer. A single port with four channels through an umbilical incision and an additional port in the right lower quadrant were used for RPLS. The median operation time was 231 minutes (range, 160-347 minutes), and the estimated blood loss was 100 mL (range, 50-500 mL). We transected the rectum with one laparoscopic stapler in 17 cases (85%). The median time to soft diet was 4 days (range, 3-6 days), and the length of hospital stay was 7 days (range, 5-45 days). The median total number of lymph nodes harvested was 16 (range, 7-36), and circumferential resection margin involvement was found in 1 case (5%). Seven patients (35%) developed postoperative complications, and no mortalities occurred ...Continue Reading

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Citations

Aug 19, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Deborah S KellerEric M Haas
Jul 8, 2016·Asian Journal of Endoscopic Surgery·Mutsushi YamasakiHiromitsu Mimata
Nov 22, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Sung Uk BaeSeong Kyu Baek
Jun 13, 2017·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Kohei TakeiHiromitsu Mimata
Dec 17, 2015·World Journal of Gastroenterology : WJG·Si-Yuan YaoSakae Mikami
Jan 27, 2016·World Journal of Gastroenterology : WJG·Deborah S KellerEric M Haas
Feb 26, 2019·Surgery Today·Kiyoshi MaedaMasaichi Ohira
Feb 9, 2016·Diseases of the Colon and Rectum·Sung Uk BaeSeong Kyu Baek
Mar 10, 2015·Annals of Coloproctology·Byung Chun Kim
Apr 8, 2021·International Journal of Colorectal Disease·Peter TschannIngmar Königsrainer

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Methods Mentioned

BETA
biopsy
lavage
dissection

Software Mentioned

SPSS Statistics

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