Single-incision plus one laparoscopic surgery in treatment of rectal cancer: a preliminary study

doi:10.16139/j.1007-9610.2019.01.014

Abstract

Abstract: Objective To assess feasibility and safety of single-incision plus one laparoscopic surgery (SILS+1) in radical treatment of rectal cancer combined with analysis of short-term clinical and oncological outcomes. Methods Clinical data were studied retrospectively with 20 patients who underwent radical rectal cancer resection through SILS+1 from September 2013 to January 2018 in our department. A propensity score matching approach was used on pooled the data of 62 cases with single-incision laparoscopic surgery of rectal cancer at a radio of 1∶1 as control group of 20 cases after matching the demographic information of the patients and body mass index, American Society of Anesthesiologists score (≤2/>2) and TNM (0-Ⅰ/Ⅱ/Ⅲ) stage. Clinical data and operative results were analyzed between SILS+1 group and control group. Results No significant differences were observed in operative time, blood loss, tumor size, retrieved lymph node, length of incision, postoperative hospital stay between SILS+1 group and control group. However, SILS+1 group showed significantly shorter distance of rectal cancer from the anal verge (P<0.05). The median follow-up period was 24.5 months in SILS+1 group and 26.5 months in control group. There was no recurrent case in both groups. Conclusions SILS+1 for rectal cancer is feasible and safe, and can be used to treat rectal cancer more near from the anal verge.

Key words: Single-incision plus one laparoscopic surgery, Rectal cancer, Single-incision laparoscopic surgery

CLC Number:

R735.3⁺7

LI Jun, LI You, SHI Yiqing, LIU Kun, JIANG Yimei, SONG Zijia, ZHAO Ren. Single-incision plus one laparoscopic surgery in treatment of rectal cancer: a preliminary study[J]. Journal of Surgery Concepts & Practice, 2019, 24(01): 65-69.

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