1. Long‑term outcomes of single‑incision laparoscopic colectomy for right‑sided colon cancer utilising a craniocaudal approach.
- Author
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Mamoru Miyasaka, Shuji Kitashiro, Mamoru Takahashi, Yuki Okawa, Sho Sekiya, Daisuke Saikawa, Koichi Teramura, Satoshi Hayashi, Yoshinori Suzuki, Joe Matsumoto, Masaya Kawada, Yo Kawarada, Kichizo Kaga, Shunichi Okushiba, and Satoshi Hirano
- Subjects
COLON cancer ,TUMOR classification ,DISEASE progression ,LAPAROSCOPIC surgery ,CONFIDENCE intervals - Abstract
Introduction: This study aimed to evaluate the short‑ and long‑term outcomes of single‑incision laparoscopic colectomy (SILC) for right‑sided colon cancer (CC) using a craniocaudal approach. Patients and Methods: The data of patients who underwent SILC for right‑sided CC at our hospital between January 2013 and December 2022 were retrospectively collected. Surgery was performed using a craniocaudal approach. Short‑ and long‑term operative outcomes were analysed. Results: In total, 269 patients (127 men, 142 women; median age 74 years) underwent SILC for right‑sided CC. The cases included ileocaecal resection (n = 138) and right hemicolectomy (n = 131). The median operative time was 154 min, and the median operative blood loss was 0 ml. Twenty‑seven cases (10.0%) required an additional laparoscopic trocar, and 9 (3.3%) were converted to open surgery. The Clavien–Dindo classification Grade III post‑operative complications were detected in 7 (2.6%) cases. SILC was performed by 25 surgeons, including inexperienced surgeons, with a median age of 34 years. The 5‑year cancer‑specific survival (CSS) was 96.1% (95% confidence interval [CI] 91.3%–98.2%), and CSS per pathological disease stage was 100% for Stages 0–I and II and 86.2% (95% CI 71.3%–93.7%) for Stage III. The 5‑year recurrence‑free survival (RFS) was 90.6% (95% CI 85.7%–93.9%), and RFS per pathological disease stage was 100% for Stage 0–I, 91.7% (95% CI 80.5%–96.6%) for Stage II and 76.1% (95% CI 63.0%–85.1%) for Stage III. Conclusions: SILC for right‑sided CC can be safely performed with a craniocaudal approach, with reasonable short‑ and long‑term outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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