Short-term outcomes of single incision plus one port laparoscopic surgery for colorectal cancer.
10.3760/cma.j.cn.441530-20200409-00193
- VernacularTitle:两孔腹腔镜结直肠癌根治性切除术近期疗效分析
- Author:
Ya Nan WANG
1
;
Min Ying PENG
2
;
Wen Qian XIE
2
;
Xiao Jing LI
2
;
Xiao Liang LAN
1
;
Zhi Yong SHEN
1
;
Zhen Ye LIANG
1
;
Ming Yi WU
1
;
Guo Xin LI
1
;
Hai Jun DENG
1
Author Information
1. Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, China.
2. First Department of Cinical Medicine, Southern Medical University, Guangzhou, Guangdong 510515, China.
- Publication Type:Journal Article
- Keywords:
Colorectal neoplasms;
Laparoscopic surgery, single incision plus one port;
Short-term effects
- MeSH:
Colorectal Neoplasms/surgery*;
Feasibility Studies;
Female;
Humans;
Laparoscopy/methods*;
Length of Stay;
Male;
Middle Aged;
Pain, Postoperative/prevention & control*;
Retrospective Studies;
Treatment Outcome
- From:
Chinese Journal of Gastrointestinal Surgery
2021;24(1):48-53
- CountryChina
- Language:Chinese
-
Abstract:
Objective: Although single port laparoscopic surgery has achieved good clinical results, many surgeons are discouraged by the difficulties of operation, conflict of instruments, lack of antagonistic traction, and straight-line perspective. Therefore, some surgeons have proposed a single incision plus one hole laparoscopic surgery (SILS+1) surgical method. This study explored the safety and feasibility of SILS+1 for radical resection of colorectal cancer. Methods: A descriptive cohort study was carried out. The clinical data, including the operation, pathology and recovery situation, of 178 patients with colorectal cancer undergoing SILS+1 at Department of General Surgery, Nanfang Hospital, Southern Medical University from March 2018 to January 2019 were prospectively collected and retrospectively analyzed. Clavien-Dindo criteria was used for postoperative complication evaluation and visual analog scale was used for pain standard. Follow-up studies were conducted through outpatient service or telephone and the follow-up period was up to May 2019. Results: A total of 178 patients with colorectal cancer underwent SILS+1, including 111 male patients (62.4%) with an average age of 59 years. Eleven (6.2%) patients received added 1-3 operation ports during operation, and 1 patient was converted to open surgery due to ileocolic artery hemorrhage. The operative time was (135.2±42.3) minutes. The intraoperative blood loss was (34.6±35.5) ml. The number of harvested lymph nodes was 33.1±17.6. The distal margin was (4.7±17.8) cm. The proximal margin was (10.2±5.3) cm. Operation-related complications were observed in 16 patients (9.0%) within 30 days after the operation, of whom 6 had Clavien-Dindo III complications (3.4%). The postoperative pain scores were lower than 3. The average postoperative hospital stay was (5.6±2.6) days. Three patients (1.7%) returned to hospital within 30 days after operation due to intestinal obstruction and infection around stoma. The cosmetic evaluation of all the patients was basically satisfied. Conclusion: SILS+1 is safe and feasible in the treatment of colorectal cancer, and can reduce the postoperative pain.
