Initial Experience of Single-port Laparoscopic Multivisceral Resection for Locally Advanced Colon Cancer

被引:7
作者
Tei, Mitsuyoshi [1 ]
Otsuka, Masahisa [1 ]
Suzuki, Yozo [1 ]
Akamatsu, Hiroki [1 ]
机构
[1] Osaka Police Hosp, Dept Surg, Tennoji Ku, 10-31 Kitayama Cho, Osaka, Osaka 5430035, Japan
关键词
single-incision laparoscopic surgery; single-port surgery; multivisceral resection; COLORECTAL-CANCER; RANDOMIZED-TRIAL; TERM OUTCOMES; RECTAL-CANCER; SURGERY; COLECTOMY; INCISION; SAFE;
D O I
10.1097/SLE.0000000000000508
中图分类号
R61 [外科手术学];
学科分类号
摘要
Aim:The aim of this study was to evaluate the safety and feasibility of single-port laparoscopic multivisceral resection (SLMVR) for locally advanced colon cancer invading or adhering to neighboring organs.Method:A prospectively collected database was collated of all patients undergoing SLMVR from January 2011 to December 2014. Short-term and long-term oncologic outcomes were evaluated.Results:Thirty consecutive patients who underwent SLMVR were identified and the completion rate was 90%. The R0 resection rate of the primary tumor was 100%. The postoperative complication rate was 23.3%. The 3-year relapse-free survival rates of patients with stage II (n=11) and stage III (n=12) disease were 80.8% and 54.6%, respectively. The 5-year overall survival rates of patients with stage II and stage III disease were 75.8% and 75.0% over a median follow-up of 42 months, respectively.Conclusions:SLMVR for locally advanced colon cancer is safe and feasible in selected patients.
引用
收藏
页码:108 / 112
页数:5
相关论文
共 24 条
[1]   T4 colorectal cancer: is laparoscopic resection contraindicated? [J].
Bretagnol, F. ;
Dedieu, A. ;
Zappa, M. ;
Guedj, N. ;
Ferron, M. ;
Panis, Y. .
COLORECTAL DISEASE, 2011, 13 (02) :138-142
[2]   Single-Incision Versus Standard Multiport Laparoscopic Colectomy A Multicenter, Case-Controlled Comparison [J].
Champagne, Bradley J. ;
Papaconstantinou, Harry T. ;
Parmar, Stavan S. ;
Nagle, Deborah A. ;
Young-Fadok, Tonia M. ;
Lee, Edward C. ;
Delaney, Conor P. .
ANNALS OF SURGERY, 2012, 255 (01) :66-69
[3]   Neoadjuvant chemoradiotherapy and multivisceral resection for primary locally advanced adherent colon cancer: A single institution experience [J].
Cukier, M. ;
Smith, A. J. ;
Milot, L. ;
Chu, W. ;
Chung, H. ;
Fenech, D. ;
Herschorn, S. ;
Ko, Y. ;
Rowsell, C. ;
Soliman, H. ;
Ung, Y. C. ;
Wong, C. S. .
EJSO, 2012, 38 (08) :677-682
[4]   Classification of surgical complications - A new proposal with evaluation in a cohort of 6336 patients and results of a survey [J].
Dindo, D ;
Demartines, N ;
Clavien, PA .
ANNALS OF SURGERY, 2004, 240 (02) :205-213
[5]   A single surgeon's experience with 54 consecutive cases of multivisceral resection for locally advanced primary colorectal cancer: can the laparoscopic approach be performed safely? [J].
Kim, Kwang Yeon ;
Hwang, Duk Won ;
Park, Young Kwang ;
Lee, Ho Suk .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2012, 26 (02) :493-500
[6]   The Short-term Outcomes of Conventional and Single-port Laparoscopic Surgery for Colorectal Cancer [J].
Kim, Say-June ;
Ryu, Gil-O ;
Choi, Byung-Jo ;
Kim, Jeong-Goo ;
Lee, Kwan-Ju ;
Lee, Sang Chul ;
Oh, Seong-Taek .
ANNALS OF SURGERY, 2011, 254 (06) :933-940
[7]   Short- and Long-Term Outcomes of Laparoscopic Multivisceral Resection for Clinically Suspected T4 Colon Cancer [J].
Kumamoto, Tsutomu ;
Toda, Shigeo ;
Matoba, Shuichiro ;
Moriyama, Jin ;
Hanaoka, Yutaka ;
Tomizawa, Kenji ;
Sawada, Toshihito ;
Kuroyanagi, Hiroya .
WORLD JOURNAL OF SURGERY, 2017, 41 (08) :2153-2159
[8]   Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer:: a randomised trial [J].
Lacy, AM ;
García-Valdecasas, JC ;
Delgado, S ;
Castells, A ;
Taurá, P ;
Piqué, JM ;
Visa, J .
LANCET, 2002, 359 (9325) :2224-2229
[9]   Laparoscopic resection of rectosigmoid carcinoma: prospective randomised trial [J].
Leung, KL ;
Kwok, SPY ;
Lam, SCW ;
Lee, JFY ;
Yiu, RYC ;
Ng, SSM ;
Lai, PBS ;
Lau, WY .
LANCET, 2004, 363 (9416) :1187-1192
[10]   Multivisceral Resection for Colon Cancer: Analysis of Prognostic Factors [J].
Lopez-Cano, Manuel ;
Manas, Maria Jose ;
Hermosilla, Eduardo ;
Espin, Eloy .
DIGESTIVE SURGERY, 2010, 27 (03) :238-245