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Single port surgery for colon cancer Goutaro KATSUNO 1 , Masaki FUKUNAGA 1 , Kunihiko NAGAKARI 1 , Masahiko SUGANO 1 , Yoshifumi LEE 1 , Yoshito IIDA 1 , Seiichiro YOSHIKAWA 1 , Yoshinori HIRASAKI 1 1Department of Surgery, Juntendo Urayasu Hospital, Juntendo University Keyword: 単孔式腹腔鏡下手術 , 大腸癌 pp.469-476
Published Date 2010/8/15
DOI https://doi.org/10.11477/mf.4426100513
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[Aim] : Transumbilical single port surgery(SPS)has been developed with the aim of further reducing the invasiveness of traditional laparoscopy. We report here the clinical transumbilical SPS for colon cancer. [Patients and Methods] : Between April 2009 and December 2009, 13 patients underwent single port surgery for colon cancer. The umbilical incision was performed, and three 5-mm ports were placed in the umbilical site. The umbilicus was the access point of entry to the abdomen for all the patients. Procedures were mostly carried out using the medial-to-lateral approach. The root of the main mesenteric vascular pedicles was initially dissected with lymphadenectomy(D 2 or D 3); the mesentery and the diseased segment of the bowel were mobilized from the retroperitoneum. The bowel was transected either intracorporeally with a laparoscopic linear stapler or pulled out through the small incision without bowel transection. Anastomosis was achieved using the double stapling technique or stapled functional end to end anastomosis. [Results]: Transumbilical single incision laparoscopic colectomy(SILC)was feasible with conventional laparoscopic instruments. Of the 13 patients, 12 underwent SILC with lymph node dissection, while one patient underwent stoma creation due to obstructive colon cancer. No intraoperative complications were observed in this series. Postoperatively, there was no mortality. Wound infection was observed in one patient. [Conclusion]: We presented our initial 13 experiences of a single port laparoscopic surgery for colon cancer. Our experience indicates SPS/SILC is feasible for selected patients with colon cancer. This technique contributed to the improvement of patients' cosmetic effects.


Copyright © 2010, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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