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

Research output: Contribution to journalArticle

2 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

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Colectomy
Colonic Neoplasms
Ligation
Blood Vessels
Patient Rights
Retrospective Studies
Lymph Nodes
Pain
Therapeutics

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

The single-center experience with the standardization of single-site laparoscopic colectomy for right-sided colon cancer. / Takahashi, Hidekazu; Takemasa, Ichiro; Haraguchi, Naotsugu; Nishimura, Junichi; Hata, Taishi; Yamamoto, Hirofumi; Matsuda, Chu; Mizushima, Tsunekazu; Doki, Yuichiro; Mori, Masaki.

In: Surgery Today, Vol. 47, No. 8, 01.08.2017, p. 966-972.

Research output: Contribution to journalArticle

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, vol. 47, no. 8, pp. 966-972. https://doi.org/10.1007/s00595-016-1457-7
Takahashi, Hidekazu ; Takemasa, Ichiro ; Haraguchi, Naotsugu ; Nishimura, Junichi ; Hata, Taishi ; Yamamoto, Hirofumi ; Matsuda, Chu ; Mizushima, Tsunekazu ; Doki, Yuichiro ; Mori, Masaki. / The single-center experience with the standardization of single-site laparoscopic colectomy for right-sided colon cancer. In: Surgery Today. 2017 ; Vol. 47, No. 8. pp. 966-972.
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N2 - 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.

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