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Background: Single port laparoscopic surgery has been rapidly developing worldwide, with the potential for replacing conventional laparoscopic surgery. Objective: Identification and evaluation of the safety, benefits and disadvantages of single port laparoscopic procedures through presentation of our experience. Design: Retrospective review of surgical procedures and outcomes for two-hundred-fifty-eight consecutive cases of single port laparoscopic surgery for colorectal cancers, between September 2009 and March 2015. Main Outcomes: Descriptive analysis of patients’ background characteristics (age, sex and cancer location), operative details (type, duration, intra-operative bleeding volume, intra-operative complication, conversion to open surgery), and postoperative follow-up (complications within 30 days). Results: Cases included ileocaecal resection (n=36), right hemicolectomy (n=54), transverse colectomy (n=21), left hemicolectomy (n=25), sigmoidectomy (n=33), high anterior resection (n=68), low anterior resection (n=24), and abdominoperineal resection (n=1). Patient group included 137 men, 121 women, with a median age of 71 years (range, 26-94). Operative details included a median duration of 234.5min (range, 90-541) and a median blood loss was 70ml (range, 0-2560). The median follow-up period was 253 days (range, 13-703), with 21 reported complications in 17 patients. Conclusions: Single-port transumbilical laparoscopic surgery is feasible and safe provided that the surgery is performed by experienced surgeons, compared to multiport laparoscopic procedures for colorectal cancers.

annals of cancer research and therapy

Transumbilical Single-Port Laparoscopic Surgery for Colorectal Cancers: Experience of 258 Consecutive Cases with Rational Manipulation of Instrument for Safety and Benefit