Standard laparoscopic versus single-incision laparoscopic colectomy for cancer: early results of a randomized prospective study
| Autor: | Silvia Trombetta, Cristiano G.S. Huscher, Barbara Binda, Gioia Brachini, Andrea Mereu, Andrea Mingoli, Giovanna Sgarzini |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Colorectal cancer medicine.medical_treatment law.invention Randomized controlled trial law right colectomy medicine Humans Prospective Studies laparoscopic colectomy Prospective cohort study left colectomy Colectomy Aged business.industry Mortality rate Cancer General Medicine Middle Aged medicine.disease Surgery colon cancer single-incision laparoscopic surgery Dissection Treatment Outcome Right Colectomy Colonic Neoplasms Feasibility Studies Lymph Node Excision Female Laparoscopy Lymph Nodes Morbidity business |
| Zdroj: | American journal of surgery. 204(1) |
| ISSN: | 1879-1883 |
| Popis: | Background Standard laparoscopic colectomy (SLC) for cancer is a safe, feasible, and oncologically effective procedure with better short-term and similar long-term results of open colectomy. Conversely, owing to technical difficulties in colonic resection and full mesenteric dissection, single-incision laparoscopic colectomy (SILC) has been considered unsuitable for oncologic purposes. We compared the technical feasibility and early clinical outcomes of SLC and SILC for cancer. Methods In this prospective randomized clinical trial, 16 (50%) patients underwent SLC (10 left and 6 right) and 16 (50%) patients underwent SILC (8 left and 8 right). Results Demographics, preoperative data, and characteristics of the tumor were similar. The mean number of resected lymph nodes was 16 ± 5 in the SLC and 18 ± 6 in the SILC group ( P = NS). Surgical time was 124 ± 8 minutes and 147 ± 5 minutes, respectively ( P = NS). Surgical mortality was nil and the major morbidity rate was 6.3% in both groups. Conclusions SILC for cancer is a technically feasible and safe oncologic procedure with short-term results similar to those obtained with a traditional laparoscopic approach. |
| Databáze: | OpenAIRE |
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