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Cited 17 times in

Reduced-Port Laparoscopic Surgery for a Tumor-Specific Mesorectal Excision in Patients With Colorectal Cancer: Initial Experience With 20 Consecutive Cases

DC FieldValueLanguage
dc.contributor.author민병소-
dc.contributor.author배성욱-
dc.contributor.author백승혁-
dc.contributor.author허혁-
dc.contributor.author김남규-
dc.date.accessioned2018-11-20T11:46:57Z-
dc.date.available2018-11-20T11:46:57Z-
dc.date.issued2015-
dc.identifier.issn2287-9714-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/165661-
dc.description.abstractPURPOSE: Single-port plus one-port, reduced-port laparoscopic surgery (RPLS) may decrease collisions between laparoscopic instruments and the camera in a narrow, bony, pelvic cavity while maintaining the cosmetic advantages of single-incision laparoscopic surgery. The aim of this study is to describe our initial experience with and to assess the feasibility and safety of RPLS for tumor-specific mesorectal excisions (TSMEs) in patients with colorectal cancer. METHODS: Between May 2010 and August 2012, RPLS for TSME was performed in 20 patients with colorectal cancer. A single port with four channels through an umbilical incision and an additional port in the right lower quadrant were used for RPLS. RESULTS: The median operation time was 231 minutes (range, 160-347 minutes), and the estimated blood loss was 100 mL (range, 50-500 mL). We transected the rectum with one laparoscopic stapler in 17 cases (85%). The median time to soft diet was 4 days (range, 3-6 days), and the length of hospital stay was 7 days (range, 5-45 days). The median total number of lymph nodes harvested was 16 (range, 7-36), and circumferential resection margin involvement was found in 1 case (5%). Seven patients (35%) developed postoperative complications, and no mortalities occurred within 30 days. During the median follow-up period of 20 months (range, 12-40 months), liver metastasis occurred in 1 patient 10 months after surgery, and local recurrence was nonexistent. CONCLUSION: RPLS for TSME in patients with colorectal cancer is technically feasible and safe without compromising oncologic safety. However, further studies comparing RPLS with a conventional, laparoscopic low-anterior resection are needed to prove the advantages of the RPLS procedure.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherKorean Society of Coloproctology-
dc.relation.isPartOfANNALS OF COLOPROCTOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleReduced-Port Laparoscopic Surgery for a Tumor-Specific Mesorectal Excision in Patients With Colorectal Cancer: Initial Experience With 20 Consecutive Cases-
dc.typeArticle-
dc.contributor.college1. College of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthorSung Uk Bae-
dc.contributor.googleauthorSe Jin Baek-
dc.contributor.googleauthorByung Soh Min-
dc.contributor.googleauthorSeung Hyuk Baik-
dc.contributor.googleauthorNam Kyu Kim-
dc.contributor.googleauthorHyuk Hur-
dc.identifier.doi10.3393/ac.2015.31.1.16-
dc.contributor.localIdA00353-
dc.contributor.localIdA01402-
dc.contributor.localIdA01797-
dc.contributor.localIdA01827-
dc.contributor.localIdA04373-
dc.relation.journalcodeJ00157-
dc.identifier.eissn2287-9722-
dc.identifier.pmid25745622-
dc.subject.keywordLaparoscopy-
dc.subject.keywordNatural orifice endoscopic surgery-
dc.subject.keywordRectal neoplasms-
dc.contributor.alternativeNameKim, Nam Kyu-
dc.contributor.alternativeNameMin, Byung Soh-
dc.contributor.alternativeNameBae, Sung Uk-
dc.contributor.alternativeNameBaik, Seung Hyuk-
dc.contributor.alternativeNameHur, Hyuk-
dc.contributor.affiliatedAuthor김남규-
dc.contributor.affiliatedAuthor민병소-
dc.contributor.affiliatedAuthor배성욱-
dc.contributor.affiliatedAuthor백승혁-
dc.contributor.affiliatedAuthor허혁-
dc.citation.volume31-
dc.citation.number1-
dc.citation.startPage16-
dc.citation.endPage22-
dc.identifier.bibliographicCitationANNALS OF COLOPROCTOLOGY, Vol.31(1) : 16-22, 2015-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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