Feasibility of Single-Incision Plus One Port Laparoscopic Low Anterior Resection for Rectal Cancer
10.7602/jmis.2020.23.3.120
- Author:
Jae Young KWAK
1
;
Kwan Mo YANG
;
Myeong Sik HAN
Author Information
1. Department of Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea
- Publication Type:Original Articles
- From:Journal of Minimally Invasive Surgery
2020;23(3):120-125
- CountryRepublic of Korea
- Language:0
-
Abstract:
Purpose:Single-incision laparoscopic surgery is a recently developed minimally invasive surgical technique. We aimed to compare the feasibility and safety of single-incision plus one port laparoscopic low anterior resection (S+1-LAR) with those of multi-port laparoscopic low anterior resection (M-LAR) for mid-to-low rectal cancer.
Methods:We retrospectively reviewed patient characteristics and surgical outcomes by assessing data collected from the medical records of patients who underwent elective laparoscopic low anterior resection for mid-to-low rectal cancer at the Gangneung Asan Hospital.
Results:From April 2015 to April 2019, 52 patients underwent S+1-LAR (n=28) or M-LAR (n=24) for midto-low rectal cancer at Gangneung Asan Hospital. There were no significant between-group differences in clinical characteristics. The mean postoperative 1-day pain score was significantly lower in the S+1-LAR group. Surgical outcomes and postoperative complications did not differ significantly between the two groups.
Conclusion:S+1-LAR is a feasible and safe technique and is comparable with M-LAR in terms of surgical outcomes of patients with mid-to-low rectal cancer.
