A clinical study of transumbilical single-incision laparoscoic surgery for right colon cancer

doi:10.3877/cma.j.issn.1674-6899.2019.05.006

Abstract

Abstract:

Objective

To investigate clinical and oncologic outcomes of single-incision laparoscopic surgery (SILS) for right colon cancer.

Methods

From Jan.2015 to Jun. 2018, 89 patients underwent laparoscopic radical right hemicolectomy through a transumbilical single-incision laparoscopic surgery (n=45) or a conventional 5 ports laparoscopic approach (n=44). The data were prospectively collected and the patients in two groups were compared by index of age, sex, body mass index , comorbidities, ASA score (≤ 2/> 2), operation time, blood loss, harvest of lymph nodes, pathologic stage, etc.

Results

No significant differences were observed in estimated blood loss, time to diet, postoperative pain score, length of post-operative hospital stay between the SILS and CLS groups. The SILS group showed longer operation time [166 min(42.0 min) vs 144 min (37.5 min), P=0.03]. There were 1(2.27%) postoperative anastomosis leakage in the SILS group and 1 (2.22%) in the CLS group (P=0.99). The pathologic outcomes were similar between two groups. The median follow-up period was 22.5 months in the SILS group and 21.9 months in the CLS group. There were 3 recurrences (6.8%) in the SILS group and 3 (6.6%) in the CLS group(P=0.88).

Conclusions

Single-incision laparoscopic surgery for right colon cancer appears to be a safe and feasible option with comparable clinical and oncologic outcomes to conventional 5 ports laparoscopic surgery.

Key words: Colon cancer, Single-incision laparoscopic surgery, Clinical outcomes

Yiqing Shi, You Li, Zijia Song, Kun Liu, Yimei Jiang, Changgang Wang, Jun Li, Ren Zhao. A clinical study of transumbilical single-incision laparoscoic surgery for right colon cancer[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2019, 12(05): 277-281.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2019.05.006

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References 18

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组别	例数	中位年龄(岁)	性别(例，男/女)	中位体质量指数(kg/m²)	ASA(分)		病理分期(例)
组别	例数	中位年龄(岁)	性别(例，男/女)	中位体质量指数(kg/m²)	>2	≤2	Ⅰ	Ⅱ	Ⅲ
单孔腔镜组	44	60.1(10.1)	21/23	22.3(4.11)	2	42	13	17	14
传统腹腔镜组	45	63.8(14.1)	20/25	23.0(4.20)	3	41	10	13	22
P值	?	0.11	－	0.89	－		－

组别	例数	中位年龄(岁)	性别(例，男/女)	中位体质量指数(kg/m²)	ASA(分)		病理分期(例)
组别	例数	中位年龄(岁)	性别(例，男/女)	中位体质量指数(kg/m²)	>2	≤2	Ⅰ	Ⅱ	Ⅲ
单孔腔镜组	44	60.1(10.1)	21/23	22.3(4.11)	2	42	13	17	14
传统腹腔镜组	45	63.8(14.1)	20/25	23.0(4.20)	3	41	10	13	22
P值	?	0.11	－	0.89	－		－

组别	例数	中位手术时间(min)	中位出血量(ml)	中转开腹(例)	术中加孔(例)	进食流食时间(d)	术后住院时间(d)	中位肿瘤直径(cm)
单孔腔镜组	44	166(42.0)	60(90)	1	4	3.5	7.5	3.5(2.2)
传统腹腔镜组	45	144(37.5)	50(90)	1	0	3.6	7.9	4.2(2.8)
P值	?	0.03	0.56	1.00	<0.00	0.82	0.91	0.12
组别	例数	淋巴结获取数目(枚， ±s)	吻合口瘘[例(%)]	切口感染[例(%)]	30 d内病死率与再入院(例)	中位随访时间(月)	肿瘤复发(例)
单孔腔镜组	44	13.5±6.1	1(2.27%)	8(18.18%)	0	22.5(13.4)	3
传统腹腔镜组	45	14.2＋7.0	1(2.22%)	4(8.80%)	0	21.9(13.2)	3
P值	?	0.76	0.99	0.02	－	－	0.88

组别	例数	中位手术时间(min)	中位出血量(ml)	中转开腹(例)	术中加孔(例)	进食流食时间(d)	术后住院时间(d)	中位肿瘤直径(cm)
单孔腔镜组	44	166(42.0)	60(90)	1	4	3.5	7.5	3.5(2.2)
传统腹腔镜组	45	144(37.5)	50(90)	1	0	3.6	7.9	4.2(2.8)
P值	?	0.03	0.56	1.00	<0.00	0.82	0.91	0.12
组别	例数	淋巴结获取数目(枚， ±s)	吻合口瘘[例(%)]	切口感染[例(%)]	30 d内病死率与再入院(例)	中位随访时间(月)	肿瘤复发(例)
单孔腔镜组	44	13.5±6.1	1(2.27%)	8(18.18%)	0	22.5(13.4)	3
传统腹腔镜组	45	14.2＋7.0	1(2.22%)	4(8.80%)	0	21.9(13.2)	3
P值	?	0.76	0.99	0.02	－	－	0.88

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