Early experience of single incision laparoscopic colo-rectal surgery.

Koo Yong Hahn, MD, PhD, Seon Hahn Kim, MD, PhD

Seongnam Central Hospital

(Purpose) The safety and efficacy of laparoscopic colon surgery were already proved by multi-center prospective randomized studies compared to conventional open surgery in colon cancer. In the advent of single incision laparoscopic surgery, this is another method of minimally invasive colo-rectal surgery. The purpose of study is to evaluate oncologic safety and operability of single incision laparoscopic colo-rectal surgery.

(Method) From the April 2011 to July 2012, 15 cases of colo-rectal cancer and benign diseases were operated by single incision laparoscopic surgery. 8 male and 7 female patients were enrolled. Mean age was 72. The 10 patients were hypertension. The one patient was diabetes mellitus. All procedures were performed by straight laparoscopic tools without any curved instruments.

(Results) The mean operation time was 240 minutes and mean blood loss was 135cc. The procedures were 8 right hemi-colectomies, 5 anterior resections, one total colectomy with ileo-rectal anastomosis and one extended left hemi-colectomy. In cancer patients, mean harvested lymph nodes were 39. The two patients were stage 1. The stage 2 and stage 3 patients were five and four respectively. Mean proximal and distal margins were 12cm and 7.7cm individually. The mean tumor size was 4×3.2cm. The mean follow-up period was 12 months. In benign diseases, two patients were crohn`s disease, one patient was intussusception due to colonic lipoma and another patient was panperitonitis due to perforated appendicitis. There were no operation related complication and death.

(Discussion) The single incision laparoscopic surgery is safe and feasible procedure for any colo-rectal cancer or benign diseases in my early experience. The curved or any devices for single incision laparoscopic surgery were not needed during procedures. The further study is warranted to confirm the oncologic and operative safety of this procedure compared to conventional laparoscopic surgery

Session: Poster Presentation

Program Number: P063