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Single-Incision Laparoscopic Colectomy for Cancer: Short-Term Outcomes and Comparative Analysis
Author(s) -
Rodrigo Pedraza,
Ali Aminian,
Javier Nieto,
Chadi Faraj,
T. Bartley Pickron,
Eric M. Haas
Publication year - 2013
Publication title -
minimally invasive surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.548
H-Index - 19
eISSN - 2090-1453
pISSN - 2090-1445
DOI - 10.1155/2013/283438
Subject(s) - colectomy , medicine , demographics , colorectal cancer , algorithm , surgery , cancer , urology , mathematics , demography , sociology
. Single-incision laparoscopic colectomy (SILC) is a viable and safe technique; however, there are no single-institution studies comparing outcomes of SILC for colon cancer with well-established minimally invasive techniques. We evaluated the short-term outcomes following SILC for cancer compared to a group of well-established minimally invasive techniques. Methods . Fifty consecutive patients who underwent SILC for colon cancer were compared to a control group composed of 50 cases of minimally invasive colectomies performed with either conventional multiport or hand-assisted laparoscopic technique. The groups were paired based on the type of procedure. Demographics, intraoperative, and postoperative outcomes were assessed. Results . With the exception of BMI, demographics were similar between both groups. Most of the procedures were right colectomies ( n = 33) and anterior resections ( n = 12). There were no significant differences in operative time (127.9 versus 126.7 min), conversions (0 versus 1), complications (14% versus 8%), length of stay (4.5 versus 4.0 days), readmissions (2% versus 2%), and reoperations (2% versus 2%). Oncological outcomes were also similar between groups. Conclusions . SILC is an oncologically sound alternative for the management of colon cancer and results in similar short-term outcomes as compared with well-established minimally invasive techniques.

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