The single-center experience with the standardization of single-site laparoscopic colectomy for right-sided colon cancer

Hidekazu Takahashi, Ichiro Takemasa, Naotsugu Haraguchi, Junichi Nishimura, Taishi Hata, Hirofumi Yamamoto, Chu Matsuda, Tsunekazu Mizushima, Yuichiro Doki, Masaki Mori

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4 Citations (Scopus)

Abstract

Purpose: Complete mesocolic excision (CME) with central vascular ligation (CVL) has been widely accepted as a surgical treatment for right-sided colon cancer. Single-site laparoscopic colectomy (SLC) is associated with reduced pain and improved cosmesis, in comparison to the multi-site laparoscopic colectomy (MCL). Although the feasibility of CME + CVL under MCL has been reported, SLC for right-sided colon cancer is generally challenging. The purpose of this study is to demonstrate our efforts to standardize the SLC for right-sided colon cancer. Methods: This retrospective study enrolled 202 consecutive patients with right-sided colon cancer who underwent laparoscopic colectomy for right-sided colon cancer, using an inferior approach and intraoperative navigation surgery, between 2008 and 2014. The patients were divided into 3 groups, based on the period of treatment, as follows: Period I (2008–2009, n = 56), Period II (2010–2011, n = 70), and Period III (2012–2014, n = 76). Results: The patient’s baseline characteristics did not differ among the three periods. The ratio of SLC significantly increased with the passage of the time. The short-term outcomes were similar among the three periods. As for oncological clearance, there was a significant increase in the number of resected lymph nodes with the passage of the time (P < 0.05). Conclusions: We successfully standardized SLC for right-sided colon cancer.

Original languageEnglish
Pages (from-to)966-972
Number of pages7
JournalSurgery today
Volume47
Issue number8
DOIs
Publication statusPublished - Aug 1 2017
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery

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    Takahashi, H., Takemasa, I., Haraguchi, N., Nishimura, J., Hata, T., Yamamoto, H., Matsuda, C., Mizushima, T., Doki, Y., & Mori, M. (2017). The single-center experience with the standardization of single-site laparoscopic colectomy for right-sided colon cancer. Surgery today, 47(8), 966-972. https://doi.org/10.1007/s00595-016-1457-7