Single incision laparoscopic right hemicolectomy： different approaches

• Published in: Chinese medical journal 2013-01, Vol.126 (2), p.238-241
• Main Authors: Wong, Tak-Man, Day, Weida, Kwok, Shu-Yan, Lau, Ying-Yu Patrick, Yip, Wai-Chun Andrew
• Format: Article
• Language: English
• Subjects: Aged; Cecal Neoplasms - surgery; Colectomy - methods; Colonic Neoplasms - surgery; Female; Humans; Laparoscopy - methods; Male; Middle Aged; Retrospective Studies; 切口; 切除术; 多端口; 天然气泄漏; 平均成本; 结肠癌; 耐用性; 腹腔镜
• ISSN: 0366-6999; 2542-5641
• DOI: 10.3760/cma.j.issn.0366-6999.20120104

Background Single incision laparoscopic colectomy has been performed in recent years, and has been shown to be feasible and safe. This study was to assess the feasibility of single incision laparoscopic right hemicolectomy and to compare the differences in different approaches. Methods This retrospective study included eighteen patients with carcinoma of caecum and ascending colon, undergoing single incision laparoscopic right hemicolectomy. This study also compared single incision laparoscopic right hemicolectomy using different approaches： （1） single incision multiport, （2） single access port and （3） glove port. Results There was no statistical difference in surgical outcomes. Concerning the surgeon＇s satisfaction toward three methods, overcrowding and durability were similar but the single incision multiport was associated with the highest gas-leak and the ＂glove＂ port was associated with poor durability. However, the method of single incision multiport has the lowest average cost of the special trocar or port in each operation. The operative time and blood loss of the operations in this study were comparable to previous publications. Conclusion There was no significant difference between different approaches of single incision laparoscopic right hemicolectomy for colonic cancer in right side colon.