Long-term outcomes of single-incision laparoscopic colectomy for right-sided colon cancer utilising a craniocaudal approach
| Title: | Long-term outcomes of single-incision laparoscopic colectomy for right-sided colon cancer utilising a craniocaudal approach |
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| Authors: | Mamoru Miyasaka, Shuji Kitashiro, Mamoru Takahashi, Yuki Okawa, Sho Sekiya, Daisuke Saikawa, Koichi Teramura, Satoshi Hayashi, Yoshinori Suzuki, Joe Matsumoto, Masaya Kawada, Yo Kawarada, Kichizo Kaga, Shunichi Okushiba, Satoshi Hirano |
| Source: | Journal of Minimal Access Surgery, Vol 20, Iss 4, Pp 408-413 (2024) |
| Publisher Information: | Wolters Kluwer Medknow Publications, 2024. |
| Publication Year: | 2024 |
| Collection: | LCC:Surgery LCC:Diseases of the digestive system. Gastroenterology |
| Subject Terms: | craniocaudal approach, long-term outcomes, right-sided colon cancer, short-term outcomes, single-incision laparoscopic colectomy, Surgery, RD1-811, Diseases of the digestive system. Gastroenterology, RC799-869 |
| More Details: | Introduction This study aimed to evaluate the short- and long-term outcomes of single-incision laparoscopic colectomy (SILC) for right-sided colon cancer (CC) using a craniocaudal approach. Patients and Methods The data of patients who underwent SILC for right-sided CC at our hospital between January 2013 and December 2022 were retrospectively collected. Surgery was performed using a craniocaudal approach. Short- and long-term operative outcomes were analysed. Results In total, 269 patients (127 men, 142 women; median age 74 years) underwent SILC for right-sided CC. The cases included ileocaecal resection (n = 138) and right hemicolectomy (n = 131). The median operative time was 154 min, and the median operative blood loss was 0 ml. Twenty-seven cases (10.0%) required an additional laparoscopic trocar, and 9 (3.3%) were converted to open surgery. The Clavien–Dindo classification Grade III post-operative complications were detected in 7 (2.6%) cases. SILC was performed by 25 surgeons, including inexperienced surgeons, with a median age of 34 years. The 5-year cancer-specific survival (CSS) was 96.1% (95% confidence interval [CI] 91.3%–98.2%), and CSS per pathological disease stage was 100% for Stages 0–I and II and 86.2% (95% CI 71.3%–93.7%) for Stage III. The 5-year recurrence-free survival (RFS) was 90.6% (95% CI 85.7%–93.9%), and RFS per pathological disease stage was 100% for Stage 0–I, 91.7% (95% CI 80.5%–96.6%) for Stage II and 76.1% (95% CI 63.0%–85.1%) for Stage III. Conclusions SILC for right-sided CC can be safely performed with a craniocaudal approach, with reasonable short- and long-term outcomes. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 0972-9941 1998-3921 |
| Relation: | https://journals.lww.com/10.4103/jmas.jmas_191_23; https://doaj.org/toc/0972-9941; https://doaj.org/toc/1998-3921 |
| DOI: | 10.4103/jmas.jmas_191_23 |
| Access URL: | https://doaj.org/article/c817ebb8a86d477584294e356ee92b04 |
| Accession Number: | edsdoj.817ebb8a86d477584294e356ee92b04 |
| Database: | Directory of Open Access Journals |
| ISSN: | 09729941 19983921 |
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| DOI: | 10.4103/jmas.jmas_191_23 |
| Published in: | Journal of Minimal Access Surgery |
| Language: | English |