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Oncologic outcomes of single-incision laparoscopic surgery for right colon cancer: A propensity score-matching analysis

Authors
 Chang Woo Kim  ;  Hyuk Hur  ;  Byung Soh Min  ;  Seung Hyuk Baik  ;  Kang Young Lee  ;  Nam Kyu Kim 
Citation
 INTERNATIONAL JOURNAL OF SURGERY, Vol.45 : 125-130, 2017 
Journal Title
INTERNATIONAL JOURNAL OF SURGERY
ISSN
 1743-9191 
Issue Date
2017
MeSH
Aged ; Blood Loss, Surgical ; Colectomy/methods* ; Colectomy/mortality ; Colonic Neoplasms/surgery* ; Disease-Free Survival ; Female ; Humans ; Laparoscopy/methods* ; Laparoscopy/mortality ; Length of Stay ; Male ; Middle Aged ; Operative Time ; Pain, Postoperative ; Propensity Score ; Retrospective Studies ; Surgical Wound ; Survival Rate ; Treatment Outcome
Keywords
Colon cancer ; Oncologic outcome ; Right hemicolectomy ; Single port ; Single-incision laparoscopic surgery
Abstract
BACKGROUND: The aim of this study was to investigate oncologic, perioperative, and pathologic outcomes of single-incision laparoscopic right hemicolectomy (SILRC) compared to conventional laparoscopic right hemicolectomy (CLRC) for right colon cancer using propensity score-matching analysis.

MATERIALS AND METHODS: From November 2009 through September 2014, 260 consecutive patients underwent laparoscopic surgery for right colon cancer. Data on short-term and long-term outcomes were collected and reviewed. Propensity score-matching was applied at a ratio of 1:2 to compare the SILRC (n = 40) and the CLRC (n = 80) groups.

RESULTS: Operation time, estimated blood loss, time to diet were not different; however, the SILRC group showed less pain on operative day and postoperative day #2 (4.8 vs. 5.9, p < 0.001 and 3.6 vs. 4.6, p = 0.006, respectively) as well as shorter incision lengths (4.0 vs. 7.3 cm, p < 0.001). Morbidity, mortality, and pathologic outcomes were similar between groups. The 3-year overall survival rates were 96.0% vs. 97.5% (p = 0.740), and disease-free survival rates were 93.5% vs. 97.5% (p = 0.444) in the SILRC and the CLRC groups, respectively.

CONCLUSION: The long-term oncologic outcomes as well as short-term outcomes of SILRC were comparable to CLRC. It appears to be a safe and feasible option with shorter incision lengths.
Full Text
https://www.sciencedirect.com/science/article/pii/S1743919117306544
DOI
10.1016/j.ijsu.2017.07.103
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Nam Kyu(김남규) ORCID logo https://orcid.org/0000-0003-0639-5632
Min, Byung Soh(민병소) ORCID logo https://orcid.org/0000-0003-0180-8565
Baik, Seung Hyuk(백승혁) ORCID logo https://orcid.org/0000-0003-4183-2332
Lee, Kang Young(이강영)
Hur, Hyuk(허혁) ORCID logo https://orcid.org/0000-0002-9864-7229
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/161254
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