Long-term outcomes of single-incision laparoscopic colectomy for right-sided colon cancer utilising a craniocaudal approach.

IF 1 4区医学 Q3 SURGERY

Journal of Minimal Access Surgery Pub Date : 2024-01-09 DOI:10.4103/jmas.jmas_191_23

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

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Abstract

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.

查看原文本刊更多论文

利用颅尾入路单切口腹腔镜结肠切除术治疗右侧结肠癌的长期疗效。

简介：本研究旨在评估采用头颅尾部入路的单切口腹腔镜结肠切除术（SILC）治疗右侧结肠癌（CC）的短期和长期疗效：本研究旨在评估采用颅尾入路的单切口腹腔镜结肠切除术（SILC）治疗右侧结肠癌（CC）的短期和长期疗效：回顾性收集2013年1月至2022年12月期间在我院接受SILC治疗右侧结肠癌的患者数据。手术采用颅尾入路。对短期和长期手术效果进行了分析：共有269名患者（127名男性，142名女性；中位年龄74岁）接受了右侧CC的SILC手术。病例包括回盲肠切除术（138 例）和右半结肠切除术（131 例）。中位手术时间为 154 分钟，中位手术失血量为 0 毫升。27例（10.0%）需要额外的腹腔镜套管，9例（3.3%）转为开腹手术。7例（2.6%）病例出现了克拉维恩-丁多分类 III 级术后并发症。SILC由25名外科医生实施，其中包括经验不足的外科医生，中位年龄为34岁。5年癌症特异性生存率（CSS）为96.1%（95%置信区间[CI] 91.3%-98.2%），按病理分期计算，0-I期和II期的CSS为100%，III期为86.2%（95%置信区间[CI] 71.3%-93.7%）。5年无复发生存率（RFS）为90.6%（95% CI 85.7%-93.9%），各病理分期的RFS在0-I期为100%，II期为91.7%（95% CI 80.5%-96.6%），III期为76.1%（95% CI 63.0%-85.1%）：结论：右侧CC的SILC手术可通过颅尾入路安全进行，并可获得合理的短期和长期疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Minimal Access Surgery SURGERY-

CiteScore

1.70

自引率

0.00%

发文量

151

审稿时长

36 weeks

期刊介绍： Journal of Minimal Access Surgery (JMAS), the official publication of Indian Association of Gastrointestinal Endo Surgeons, launched in early 2005. The JMAS, a quarterly publication, is the first English-language journal from India, as also from this part of the world, dedicated to Minimal Access Surgery. The JMAS boasts an outstanding editorial board comprising of Indian and international experts in the field.