Safety and feasibility of single-port laparoscopic low anterior resection for upper rectal cancer - 06/12/18
, Masahisa Otsuka, Yozo Suzuki, Kentaro Kishi, Masahiro Tanemura, Hiroki AkamatsuAbstract |
Background |
Single-port surgery for rectal cancer is challenging and controversial. The aim of this study was to compare the short-term outcomes of single-port laparoscopic low anterior resection (S-LAR) to multi-port laparoscopic low anterior resection (M-LAR) for upper rectal cancer.
Methods |
From January 2011 to December 2015, a total of 93 patients who underwent S-LAR (n = 44) or M-LAR (n = 49) without protective diverting ileostomy for upper rectal cancer were identified. Tumors were located between the inferior margin of the second sacral vertebra and the peritoneal reflection. Short-term outcomes were compared between groups.
Results |
S-LAR was successful in 75% of cases: 25% of cases required one additional port. Operative factors, perioperative outcomes, oncological outcomes did not differ significantly between groups. In patients with stage I-III disease, the 3-year relapse-free survival rate was significantly higher in the S-LAR group than in the M-LAR group (p = 0.032). The 3-year overall survival rate was similar between groups.
Conclusions |
S-LAR is safe, feasible and can provide satisfactory oncological outcomes in selected patients with upper rectal cancer.
Le texte complet de cet article est disponible en PDF.Highlights |
• | We assess the safety and feasibility of S-LAR for upper rectal cancer. |
• | Short-term and long-term oncological outcomes did not differ significantly between S-LAR and M-LAR group. |
• | S-LAR is safe, feasible and can provide satisfactory oncological outcomes in selected patients with upper rectal cancer. |
Keywords : Single-incision laparoscopic surgery, Single-port surgery, Rectal cancer, Low anterior resection
Plan
Vol 216 - N° 6
P. 1101-1106 - décembre 2018 Retour au numéro
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