Open AccessHemicolectomía derecha laparoscópica con abordaje suprapúbico: una técnica novedosa para el tratamiento del cáncer de colon
Author(s) -
Matías Parodi,
Clínica Universitaria Reina Fabiola Servicio de Cirugía General,
Fernando A. Alvarez,
Facundo Mandojana,
Germán Viscido,
Marcelo Doniquian
Publication year - 2019
Publication title -
revista argentina de cirugía/revista argentina de cirugía
Language(s) - English
Resource type - Journals
eISSN - 2250-639X
pISSN - 0048-7600
DOI - 10.25132/raac.v111.n3.1405.es
Subject(s) - medicine , hemicolectomy , right hemicolectomy , colorectal cancer , lymph node , surgery , laparoscopy , laparoscopic surgery , cancer
Background: The suprapubic approach for laparoscopic right hemicolectomy has been reported with robotic surgery or single incision laparoscopy. The use of the suprapubic approach for standard multiport laparoscopic right hemicolectomy has not been previously described. Material and methods: Between January and September 2018, four consecutive patients (three women and one man; median age: 64 years) with right-sided colon cancer underwent laparoscopic right hemicolectomy using the suprapubic multiport approach. Results: The procedure was successful in all the patients and mean operative time was 210 minutes (IQR: 170-240). There were no complications and were discharged on postoperative day 4 (IQR: 3-5). All the surgical specimens had negative margins and lymph node count was > 12 lymph nodes. All the patients are alive and free from disease at 7, 5, 4 and 2 months of follow-up. Conclusion: The suprapubic approach for standard multiport laparoscopic right hemicolectomy is an easy, feasible and safe alternative for the treatment of colon cancer in selected patients, with a favorable functional, esthetic and oncological result.