Skip to main content
Top
Published in: Surgery Today 3/2016

01-03-2016 | Original Article

A case-matched comparison of single-incision versus multiport laparoscopic right colectomy for colon cancer

Authors: On Suzuki, Fumitaka Nakamura, Nobuichi Kashimura, Toru Nakamura, Minoru Takada, Yoshiyasu Ambo

Published in: Surgery Today | Issue 3/2016

Login to get access

Abstract

Purpose

To minimize the parietal trauma associated with multiple surgical access sites, single-incision laparoscopic surgery for colectomy has been emerging with the improvements in instrumentation and surgical techniques. The purpose of this study was to compare the clinicopathological outcomes between single-incision laparoscopic right colectomy (SILC) and multiport laparoscopic right colectomy (MLC) for right colon cancer.

Methods

Thirty-five consecutive patients undergoing SILC from a prospective single-institution database were case matched according to demographic data to an equivalent number of patients who underwent MLC.

Results

The SILC patients had decreased scores for maximal pain assessed by a visual analog scale on postoperative days 1 and 3, and used fewer postoperative systemic narcotics. The median length of the hospital stay for the SILC patients was significantly shorter compared with the MLC patients. The postoperative morbidity rates were similar between the groups. The oncological findings were not significantly different between the groups.

Conclusion

SILC is a feasible and safe alternative to conventional MLC for patients with right colon cancer.
Literature
1.
go back to reference Lacy AM, García-Valdecasas JC, Delgado S, Castells A, Taurá P, Piqué JM, et al. Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomized trial. Lancet. 2002;359:2224–9.CrossRefPubMed Lacy AM, García-Valdecasas JC, Delgado S, Castells A, Taurá P, Piqué JM, et al. Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomized trial. Lancet. 2002;359:2224–9.CrossRefPubMed
2.
go back to reference Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med. 2004;350:2050–9.CrossRef Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med. 2004;350:2050–9.CrossRef
3.
go back to reference Leung KL, Kwok SP, Lam SC, Lee JF, Yiu RY, Ng SS, et al. Laparoscopic resection of rectosigmoid carcinoma: prospective randomized trial. Lancet. 2004;363:1187–92.CrossRefPubMed Leung KL, Kwok SP, Lam SC, Lee JF, Yiu RY, Ng SS, et al. Laparoscopic resection of rectosigmoid carcinoma: prospective randomized trial. Lancet. 2004;363:1187–92.CrossRefPubMed
4.
go back to reference Lacy AM, Delgado S, Castells A, Prins HA, Arroyo V, Ibarzabal A, et al. The long-term results of a randomized clinical trial of laparoscopy-assisted versus open surgery for colon cancer. Ann Surg. 2008;248:1–7.CrossRefPubMed Lacy AM, Delgado S, Castells A, Prins HA, Arroyo V, Ibarzabal A, et al. The long-term results of a randomized clinical trial of laparoscopy-assisted versus open surgery for colon cancer. Ann Surg. 2008;248:1–7.CrossRefPubMed
5.
go back to reference Bucher P, Pugin F, Morel P. Single port access laparoscopic right hemicolectomy. Int J Colorectal Dis. 2008;23:1013–6.CrossRefPubMed Bucher P, Pugin F, Morel P. Single port access laparoscopic right hemicolectomy. Int J Colorectal Dis. 2008;23:1013–6.CrossRefPubMed
6.
go back to reference Remzi FH, Kirat HT, Kaouk JH, Geisler DP. Single-port laparoscopy in colorectal surgery. Colorectal Dis. 2008;10:823–6.CrossRefPubMed Remzi FH, Kirat HT, Kaouk JH, Geisler DP. Single-port laparoscopy in colorectal surgery. Colorectal Dis. 2008;10:823–6.CrossRefPubMed
7.
go back to reference Merchant AM, Lin E. Single-incision laparoscopic right hemicolectomy for a colon mass. Dis Colon Rectum. 2009;52:1021–4.CrossRefPubMed Merchant AM, Lin E. Single-incision laparoscopic right hemicolectomy for a colon mass. Dis Colon Rectum. 2009;52:1021–4.CrossRefPubMed
8.
go back to reference Choi SI, Lee KY, Park SJ, Lee SH. Single port laparoscopic right hemicolectomy with D3 dissection for advanced colon cancer. World J Gastroenterol. 2010;16:275–8.PubMedCentralCrossRefPubMed Choi SI, Lee KY, Park SJ, Lee SH. Single port laparoscopic right hemicolectomy with D3 dissection for advanced colon cancer. World J Gastroenterol. 2010;16:275–8.PubMedCentralCrossRefPubMed
9.
go back to reference Keshava A, Young CJ, Mackenzie S. Single-incision laparoscopic right hemicolectomy. Br J Surg. 2010;97:1881–3.CrossRefPubMed Keshava A, Young CJ, Mackenzie S. Single-incision laparoscopic right hemicolectomy. Br J Surg. 2010;97:1881–3.CrossRefPubMed
10.
go back to reference Boni L, Dionigi G, Cassinotti E, Giuseppe MD, Diurni M, Rausei S, et al. Single incision laparoscopic right colectomy. Surg Endosc. 2010;24:3233–6.CrossRefPubMed Boni L, Dionigi G, Cassinotti E, Giuseppe MD, Diurni M, Rausei S, et al. Single incision laparoscopic right colectomy. Surg Endosc. 2010;24:3233–6.CrossRefPubMed
11.
go back to reference Ramos-Valadez DI, Patel CB, Ragupathi M, Pickron TB, Haas EM. Single-incision laparoscopic right hemicolectomy: safety and feasibility in a series of consecutive cases. Surg Endosc. 2010;24:2613–6.CrossRefPubMed Ramos-Valadez DI, Patel CB, Ragupathi M, Pickron TB, Haas EM. Single-incision laparoscopic right hemicolectomy: safety and feasibility in a series of consecutive cases. Surg Endosc. 2010;24:2613–6.CrossRefPubMed
12.
go back to reference Patel CB, Ramos-Valadez DI, Ragupathi M, Haas EM. Single incision laparoscopic-assisted right hemicolectomy: technique and application (with video). Surg Laparosc Endosc Percutan Tech. 2010;20:e146–9.CrossRefPubMed Patel CB, Ramos-Valadez DI, Ragupathi M, Haas EM. Single incision laparoscopic-assisted right hemicolectomy: technique and application (with video). Surg Laparosc Endosc Percutan Tech. 2010;20:e146–9.CrossRefPubMed
13.
go back to reference Rieger NA, Lam FF. Single-incision laparoscopically assisted colectomy using standard laparoscopic instrumentation. Surg Endosc. 2010;24:888–90.CrossRefPubMed Rieger NA, Lam FF. Single-incision laparoscopically assisted colectomy using standard laparoscopic instrumentation. Surg Endosc. 2010;24:888–90.CrossRefPubMed
14.
go back to reference Ross H, Steele S, Whiteford M, Lee S, Albert M, Mutch M, et al. Early multi-institution experience with single-incision laparoscopic colectomy. Dis Colon Rectum. 2011;54:187–92.CrossRefPubMed Ross H, Steele S, Whiteford M, Lee S, Albert M, Mutch M, et al. Early multi-institution experience with single-incision laparoscopic colectomy. Dis Colon Rectum. 2011;54:187–92.CrossRefPubMed
15.
go back to reference Katsuno G, Fukunaga M, Nagakari K, Yoshikawa S, Ouchi M, Hirasaki Y. Single-incision laparoscopic colectomy for colon cancer: early experience with 31 cases. Dis Colon Rectum. 2011;54:705–10.CrossRefPubMed Katsuno G, Fukunaga M, Nagakari K, Yoshikawa S, Ouchi M, Hirasaki Y. Single-incision laparoscopic colectomy for colon cancer: early experience with 31 cases. Dis Colon Rectum. 2011;54:705–10.CrossRefPubMed
16.
go back to reference Hirano Y, Hattori M, Sato Y, Maeda K, Douden K, Hashizume Y. The outcome of single-incision laparoscopic right colectomy for colon carcinoma in the elderly. Surg Laparosc Endosc Percutan Tech. 2012;22:338–40.CrossRefPubMed Hirano Y, Hattori M, Sato Y, Maeda K, Douden K, Hashizume Y. The outcome of single-incision laparoscopic right colectomy for colon carcinoma in the elderly. Surg Laparosc Endosc Percutan Tech. 2012;22:338–40.CrossRefPubMed
17.
go back to reference Takayama S, Nakai N, Sakamoto M, Takeyama H. Single-incision laparoscopic herniorrhaphy for inguinal hernia repair. Surg Today. 2014;44:513–6.CrossRefPubMed Takayama S, Nakai N, Sakamoto M, Takeyama H. Single-incision laparoscopic herniorrhaphy for inguinal hernia repair. Surg Today. 2014;44:513–6.CrossRefPubMed
18.
go back to reference Hiro J, Inoue Y, Okugawa Y, Kawamoto A, Okita Y, Toiyama Y, et al. Single-port laparoscopic management of adhesive small bowel obstruction. Surg Today. 2014;44:586–90.CrossRefPubMed Hiro J, Inoue Y, Okugawa Y, Kawamoto A, Okita Y, Toiyama Y, et al. Single-port laparoscopic management of adhesive small bowel obstruction. Surg Today. 2014;44:586–90.CrossRefPubMed
19.
go back to reference Sasaki A, Nitta H, Otsuka K, Fujiwara H, Takahara T, Wakabayashi G. Single-port versus multiport laparoscopic resection for gastric gastrointestinal stromal tumors: a case-matched comparison. Surg Today. 2014;44:1282–6.CrossRefPubMed Sasaki A, Nitta H, Otsuka K, Fujiwara H, Takahara T, Wakabayashi G. Single-port versus multiport laparoscopic resection for gastric gastrointestinal stromal tumors: a case-matched comparison. Surg Today. 2014;44:1282–6.CrossRefPubMed
20.
go back to reference Adair J, Gromski MA, Lim RB, Nagle D. Single-incision laparoscopic right colectomy: experience with 17 consecutive cases and comparison with multiport laparoscopic right colectomy. Dis Colon Rectum. 2010;53:1549–54.CrossRefPubMed Adair J, Gromski MA, Lim RB, Nagle D. Single-incision laparoscopic right colectomy: experience with 17 consecutive cases and comparison with multiport laparoscopic right colectomy. Dis Colon Rectum. 2010;53:1549–54.CrossRefPubMed
21.
go back to reference Waters JA, Guzman MJ, Fajardo AD, Selzer DJ, Wiebke EA, Robb BW, et al. Single-port laparoscopic right hemicolectomy: a safe alternative to conventional laparoscopy. Dis Colon Rectum. 2010;53:1467–72.CrossRefPubMed Waters JA, Guzman MJ, Fajardo AD, Selzer DJ, Wiebke EA, Robb BW, et al. Single-port laparoscopic right hemicolectomy: a safe alternative to conventional laparoscopy. Dis Colon Rectum. 2010;53:1467–72.CrossRefPubMed
22.
go back to reference Chen WTL, Chang SC, Chiang HC, Lo WY, Jeng LB, Wu C, et al. Single-incision laparoscopic versus conventional laparoscopic right hemicolectomy: a comparison of short-term results. Surg Endosc. 2011;25:1887–92.CrossRefPubMed Chen WTL, Chang SC, Chiang HC, Lo WY, Jeng LB, Wu C, et al. Single-incision laparoscopic versus conventional laparoscopic right hemicolectomy: a comparison of short-term results. Surg Endosc. 2011;25:1887–92.CrossRefPubMed
23.
go back to reference Papaconstantinou HT, Sharp N, Thomas JS. Single-incision laparoscopic right colectomy: a case-matched comparison with standard laparoscopic and hand-assisted laparoscopic techniques. J Am Coll Surg. 2011;213:72–82.CrossRefPubMed Papaconstantinou HT, Sharp N, Thomas JS. Single-incision laparoscopic right colectomy: a case-matched comparison with standard laparoscopic and hand-assisted laparoscopic techniques. J Am Coll Surg. 2011;213:72–82.CrossRefPubMed
24.
go back to reference Gandhi DP, Ragupathi M, Patel CB, Ramos-Valadez DI, Pickron TB, Haas EM. Single-incision versus hand-assisted laparoscopic colectomy: a case-matched series. J Gastrointest Surg. 2010;14:1875–80.CrossRefPubMed Gandhi DP, Ragupathi M, Patel CB, Ramos-Valadez DI, Pickron TB, Haas EM. Single-incision versus hand-assisted laparoscopic colectomy: a case-matched series. J Gastrointest Surg. 2010;14:1875–80.CrossRefPubMed
25.
go back to reference Champagne BJ, Lee EC, Leblanc F, Stein SL, Delaney CP. Single-incision vs straight laparoscopic segmental colectomy: a case-controlled study. Dis Colon Rectum. 2011;54:183–6.CrossRefPubMed Champagne BJ, Lee EC, Leblanc F, Stein SL, Delaney CP. Single-incision vs straight laparoscopic segmental colectomy: a case-controlled study. Dis Colon Rectum. 2011;54:183–6.CrossRefPubMed
26.
go back to reference Lee SW, Milson JW, Nash GM. Single-incision versus multiple laparoscopic right and hand-assisted left colectomy: a case-matched comparison. Dis Colon Rectum. 2011;54:1355–61.CrossRefPubMed Lee SW, Milson JW, Nash GM. Single-incision versus multiple laparoscopic right and hand-assisted left colectomy: a case-matched comparison. Dis Colon Rectum. 2011;54:1355–61.CrossRefPubMed
Metadata
Title
A case-matched comparison of single-incision versus multiport laparoscopic right colectomy for colon cancer
Authors
On Suzuki
Fumitaka Nakamura
Nobuichi Kashimura
Toru Nakamura
Minoru Takada
Yoshiyasu Ambo
Publication date
01-03-2016
Publisher
Springer Japan
Published in
Surgery Today / Issue 3/2016
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-015-1154-y

Other articles of this Issue 3/2016

Surgery Today 3/2016 Go to the issue