Operative Techniques of Single Incision Laparoscopic Surgery in Treatment of Colorectal Neoplasm_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 WU Shuodong , SU Yang , KONG Jing , CHEN Yongsheng

Department of General Surgery， Shengjing Hostpital， China Medical University， Shenyang 110004， Liaoning Province， China;

Corresponding author：

WU Shuodong, Email: wushuodong@yahoo.cn

Keywords：

Single incision laparoscopic surgery; Colorectal neoplasm; Colorectal surgery

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective 　To summarize the experience of single incision laparoscopic colorectal surgery and to discuss the operative techniques.
Methods 　The clinical data of 21 cases who underwent single incision laparoscopic colorectal surgery in Shengjing Hospital from Jan. 2010 to Jun. 2011 were collected and analyzed.
Results 　Of 21 cases underwent single incision laparoscopic surgery， right hemicolectomy performed in 5 cases， sigmoidectomy performed in 2 cases， rectal anterior resection performed in 9 cases， rectal abdominoperineal resection performed in 2 cases， total colectomy performed in 1 case， and colostomy performed in 2 cases. Twenty cases completed by single incision， but 1 case was added an extra 12 mm incision in order to dissect the lower segment of rectum. The operative time was （189±75） min （40-335min）；the postoperative hospitalization time was （11.5±3.4） d （7-16d）. There were no bleeding， anastomosis leakage or intestinal obstruction after operation， and no incision infection， rupture or hernia were founded. No recurrence was found within 6 months’ follow up after operation.
Conclusions 　Under reasonable selection of indication， single incision laparoscopic colorectal surgery is safe and feasible， and it also has a satisfactory cosmetic effect and better minimally invasive effect.

Citation： WU Shuodong,SU Yang,KONG Jing,CHEN Yongsheng. Operative Techniques of Single Incision Laparoscopic Surgery in Treatment of Colorectal Neoplasm. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2012, 19(12): 1327-1331. doi: Copy

1.	Braga M， Vignali A， Gianotti L， et al. Laparoscopic versus open colorectal surgery：a randomized trial on short-term outcome[J]. Ann Surg， 2002， 236(6)：759-766.
2.	Delaney CP， Chang E， Senagore AJ， et al. Clinical outcomes and resource utilization associated with laparoscopic and open colectomy using a large national database[J]. Ann Surg， 2008， 247(5)：819-824.
3.	Cecconello I， Araujo SE， Seid VE， et al. Laparoscopic total mesorectal excision：early and late results[J]. Asian J Endosc Surg， 2011， 4(3)：99-106.
4.	Roscio F， Bertoglio C， De Luca A， et al. Totally laparoscopic versus laparoscopic assisted right colectomy for cancer[J]. Int J Surg， 2012， 10(6)：290-295.
5.	Li MZ， Xiao LB， Wu WH， et al. Meta-analysis of laparoscopic versus open colorectal surgery within fast-track perioperative care[J]. Dis Colon Rectum， 2012， 55(7)：821-827.
6.	Hahn KY， Baek SJ， Joh YG， et al. Laparoscopic resection of transverse colon cancer：long-term oncologic outcomes in 58patients[J]. J Laparoendosc Adv Surg Tech A， 2012， 22(6)：561-566.
7.	Naguib N， Saklani A， Shah P， et al. Short-term outcomes of laparoscopic colorectal resection in patients with previous abdominal operations[J]. J Laparoendosc Adv Surg Tech A， 2012， 22(5)：468-471.
8.	Allaix ME， Degiuli M， Giraudo G， et al. Laparoscopic versus open colorectal resections in patients with symptomatic stageⅣ colorectal cancer[J]. Surg Endosc， 2012， 26(9)：2609-2616.
9.	Huh JW， Kim HR. The feasibility of laparoscopic resection compared to open surgery in clinically suspected T4 colorectal cancer[J]. J Laparoendosc Adv Surg Tech A， 2012， 22(5)：463-467.
10.	Diana Michele， Dhumane P， Cahill RA， et al. Minimal invasive single-site surgery in colorectal procedures：current state of the art[J]. J Minim Access Surg， 2011， 7(1)：52-60.
11.	Haas EM， Nieto J， Ragupathi M， et al. Single-incision laparoscopic sigmoid resection：a technical video of a standardizedapproach[J]. Dis Colon Rectum， 2012， 55(11)：1179-1182.
12.	Fung AK， Aly EH. Systematic review of single-incision laparoscopic colonic surgery[J]. Br J Surg， 2012， 99(10)：1353-1364.
13.	Hirano Y， Hattori M， Sato Y， et al. The outcome of single-incision laparoscopic right colectomy for colon carcinoma in the elderly[J]. Surg Laparosc Endosc Percutan Tech， 2012， 22(4)：338-340.
14.	Maggiori L， Gaujoux S， Tribillon E， et al. Single-incision laparoscopy for colorectal resection：a systematic review and meta-analysis of more than a thousand procedures[J]. Colorectal Dis， 2012， 14(10)：e643-e654.
15.	Poon JT， Cheung CW， Fan JK， et al. Single-incision versus conventional laparoscopic colectomy for colonic neoplasm：a randomized， controlled trial[J]. Surg Endosc， 2012， 26(10)：2729-2734.
16.	Remzi FH， Kirat HT， Kaouk JH， et al. Single-port laparoscopy in colorectal surgery[J]. Colorectal Dis， 2008， 10(8)：823-826.
17.	Bucher P， Pugin F， Morel P. Single port access laparoscopic right hemicolectomy[J]. Int J Colorectal Dis， 2008， 23(10)：1013-1016.
18.	Rieger NA， Lam FF. Single-incision laparoscopically assisted colectomy using standard laparoscopic instrumentation[J]. Surg Endosc， 2010， 24(4)：888-890.
19.	Ceppa EP， Park CW， Portenier DD， et al. Single-incision laparoscopic right colectomy：an efficient technique[J]. Surg Laparosc Endosc Percutan Tech， 2012， 22(2)：88-94.
20.	Makino T， Milsom JW， Lee SW. Feasibility and safety of single-incision laparoscopic colectomy：a systematic review[J]. Ann Surg， 2012， 255(4)：667-676.
21.	Boone BA， Wagner P， Ganchuk E， et al. Single-incision laparoscopic right colectomy in an unselected patient population[J]. Surg Endosc， 2012， 26(6)：1595-1601.
22.	Nguyen HM， Causey MW， Steele SR， et al. Single-port laparoscopic diverting sigmoid colostomy[J]. Dis Colon Rectum， 2011， 54(12)：1585-1588.
23.	吴硕东，苏洋，田雨，等. 经脐单孔腹腔镜下经肛辅助直肠癌切除术1例报告[J]. 中国实用外科杂志， 2010， 30(10)：905-906.
24.	Ito M， Asano Y， Horiguchi A， et al. Cholecystectomy using single-incision laparoscopic surgery with a new SILS port[J].J Hepatobiliary Pancreat Sci， 2010， 17(5)：688-691.
25.	Egi H， Okajima M， Hinoi T， et al. Single-incision laparoscopic colectomy using the Gelport system for early colon cancer[J]. Scand J Surg， 2012， 101(1)：16-20.
26.	Uematsu D， Magishi A， Sano T， et al. Single-scar laparoscopic colectomy with intracorporeal attachable and detachable instruments[J]. Dis Colon Rectum， 2012， 55(7)：815-820.

1. Braga M， Vignali A， Gianotti L， et al. Laparoscopic versus open colorectal surgery：a randomized trial on short-term outcome[J]. Ann Surg， 2002， 236(6)：759-766.
2. Delaney CP， Chang E， Senagore AJ， et al. Clinical outcomes and resource utilization associated with laparoscopic and open colectomy using a large national database[J]. Ann Surg， 2008， 247(5)：819-824.
3. Cecconello I， Araujo SE， Seid VE， et al. Laparoscopic total mesorectal excision：early and late results[J]. Asian J Endosc Surg， 2011， 4(3)：99-106.
4. Roscio F， Bertoglio C， De Luca A， et al. Totally laparoscopic versus laparoscopic assisted right colectomy for cancer[J]. Int J Surg， 2012， 10(6)：290-295.
5. Li MZ， Xiao LB， Wu WH， et al. Meta-analysis of laparoscopic versus open colorectal surgery within fast-track perioperative care[J]. Dis Colon Rectum， 2012， 55(7)：821-827.
6. Hahn KY， Baek SJ， Joh YG， et al. Laparoscopic resection of transverse colon cancer：long-term oncologic outcomes in 58patients[J]. J Laparoendosc Adv Surg Tech A， 2012， 22(6)：561-566.
7. Naguib N， Saklani A， Shah P， et al. Short-term outcomes of laparoscopic colorectal resection in patients with previous abdominal operations[J]. J Laparoendosc Adv Surg Tech A， 2012， 22(5)：468-471.
8. Allaix ME， Degiuli M， Giraudo G， et al. Laparoscopic versus open colorectal resections in patients with symptomatic stageⅣ colorectal cancer[J]. Surg Endosc， 2012， 26(9)：2609-2616.
9. Huh JW， Kim HR. The feasibility of laparoscopic resection compared to open surgery in clinically suspected T4 colorectal cancer[J]. J Laparoendosc Adv Surg Tech A， 2012， 22(5)：463-467.
10. Diana Michele， Dhumane P， Cahill RA， et al. Minimal invasive single-site surgery in colorectal procedures：current state of the art[J]. J Minim Access Surg， 2011， 7(1)：52-60.
11. Haas EM， Nieto J， Ragupathi M， et al. Single-incision laparoscopic sigmoid resection：a technical video of a standardizedapproach[J]. Dis Colon Rectum， 2012， 55(11)：1179-1182.
12. Fung AK， Aly EH. Systematic review of single-incision laparoscopic colonic surgery[J]. Br J Surg， 2012， 99(10)：1353-1364.
13. Hirano Y， Hattori M， Sato Y， et al. The outcome of single-incision laparoscopic right colectomy for colon carcinoma in the elderly[J]. Surg Laparosc Endosc Percutan Tech， 2012， 22(4)：338-340.
14. Maggiori L， Gaujoux S， Tribillon E， et al. Single-incision laparoscopy for colorectal resection：a systematic review and meta-analysis of more than a thousand procedures[J]. Colorectal Dis， 2012， 14(10)：e643-e654.
15. Poon JT， Cheung CW， Fan JK， et al. Single-incision versus conventional laparoscopic colectomy for colonic neoplasm：a randomized， controlled trial[J]. Surg Endosc， 2012， 26(10)：2729-2734.
16. Remzi FH， Kirat HT， Kaouk JH， et al. Single-port laparoscopy in colorectal surgery[J]. Colorectal Dis， 2008， 10(8)：823-826.
17. Bucher P， Pugin F， Morel P. Single port access laparoscopic right hemicolectomy[J]. Int J Colorectal Dis， 2008， 23(10)：1013-1016.
18. Rieger NA， Lam FF. Single-incision laparoscopically assisted colectomy using standard laparoscopic instrumentation[J]. Surg Endosc， 2010， 24(4)：888-890.
19. Ceppa EP， Park CW， Portenier DD， et al. Single-incision laparoscopic right colectomy：an efficient technique[J]. Surg Laparosc Endosc Percutan Tech， 2012， 22(2)：88-94.
20. Makino T， Milsom JW， Lee SW. Feasibility and safety of single-incision laparoscopic colectomy：a systematic review[J]. Ann Surg， 2012， 255(4)：667-676.
21. Boone BA， Wagner P， Ganchuk E， et al. Single-incision laparoscopic right colectomy in an unselected patient population[J]. Surg Endosc， 2012， 26(6)：1595-1601.
22. Nguyen HM， Causey MW， Steele SR， et al. Single-port laparoscopic diverting sigmoid colostomy[J]. Dis Colon Rectum， 2011， 54(12)：1585-1588.
23. 吴硕东，苏洋，田雨，等. 经脐单孔腹腔镜下经肛辅助直肠癌切除术1例报告[J]. 中国实用外科杂志， 2010， 30(10)：905-906.
24. Ito M， Asano Y， Horiguchi A， et al. Cholecystectomy using single-incision laparoscopic surgery with a new SILS port[J].J Hepatobiliary Pancreat Sci， 2010， 17(5)：688-691.
25. Egi H， Okajima M， Hinoi T， et al. Single-incision laparoscopic colectomy using the Gelport system for early colon cancer[J]. Scand J Surg， 2012， 101(1)：16-20.
26. Uematsu D， Magishi A， Sano T， et al. Single-scar laparoscopic colectomy with intracorporeal attachable and detachable instruments[J]. Dis Colon Rectum， 2012， 55(7)：815-820.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Operative Techniques of Single Incision Laparoscopic Surgery in Treatment of Colorectal Neoplasm

Abstract Full text Figures/Tables Video References Cited by

Format

Content