Single incision laparoscopic right hemicolectomy: different approaches.

Abstract:

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.

journal_name

Chin Med J (Engl)

journal_title

Chinese medical journal

authors

Wong TM,Day W,Kwok SY,Lau YY,Yip WC

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

238-41

issue

2

eissn

0366-6999

issn

2542-5641

journal_volume

126

pub_type

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