Single incision laparoscopic surgery for multiple colorectal cancers

Asian J Endosc Surg. 2016 Feb;9(1):21-3. doi: 10.1111/ases.12245. Epub 2015 Oct 21.

Abstract

Introduction: The aim of this study was to evaluate short-term outcomes of single-incision surgery with two segmental colorectal resections and anastomoses for multiple synchronous colorectal cancers.

Methods: Ten patients with multiple colorectal cancers underwent two synchronous segmental colorectal resections and anastomoses. The methodology of the procedures, operative results, and postoperative outcomes were evaluated.

Results: The median operative time was 270 min (range, 146-427 min), and the median blood loss was 70 mL (range, 10-260 mL). No conversions to open surgery or intraoperative complications occurred. Four cases needed additional ports, and one case required a diverting stoma.

Conclusion: SILS with two segmental colorectal resections and anastomoses was safely performed in all cases without severe postoperative complications. This procedure seems to be a feasible option for resecting multiple synchronous colorectal cancers.

Keywords: Laparoscopic colectomy; multiple colorectal cancers; single-incision laparoscopic surgery (SILS).

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anastomosis, Surgical
  • Blood Loss, Surgical / statistics & numerical data
  • Colectomy / methods*
  • Colorectal Neoplasms / surgery*
  • Female
  • Humans
  • Laparoscopy / methods*
  • Length of Stay / statistics & numerical data
  • Lymph Node Excision
  • Male
  • Middle Aged
  • Neoplasms, Multiple Primary / surgery*
  • Operative Time
  • Postoperative Complications
  • Retrospective Studies
  • Treatment Outcome