• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Non Randomised Comparative Study Comparing Conventional versus Single Access Laparoscopic (SAL) Right Hemicolectomy

Non Randomised Comparative Study Comparing Conventional versus Single Access Laparoscopic (SAL) Right Hemicolectomy

Tikfu Gee, MBBS, MS, Kheng Wah Ong, MBBS, MS, Zubaidah Hanifa, MBBS, MS, Oo Myint Minn, MBBS, MS, Suriyana Ghani, MBBS, Qisti Fathi Nik, MBBS. Universiti Putra Malaysia

Conventional multi port surgery has now been accepted as safe and reliable in colorectal cancer surgery in terms of oncological clearance and patient morbidity. Recent advances have gravitated toward using a single port or access for a right hemicolectomy. At this early stage, available data in single centres are small in number as with comparative studies between the conventional versus a single access methods. The aim of this study is to compare the conventional multi port laparoscopic surgery with single access laparoscopic surgery (SAL) for right hemicolectomy. The study was conducted in Hospital Kuala Lumpur under the Department of Surgery, Universiti Putra Malaysia. The surgeries were done by a team of 4 surgeons. All right hemicolectomy surgeries were done laparoscopically. No randomization was done. The cases collected were from January 2010 till December 2011. The first port insertion was done by a 12mm trocar optical entry method, subsequent ports were inserted under direct vision. For the single access method, a 4 cm omega shaped skin marking was done and 3 ports were used, two 5mm and a 12mm. Straight laparoscopic instruments were used as with medial to lateral dissection . The mobilized bowel was brought out via an enlarged umbilical wound protected by an Alexis wound retractor. Resection and side to side anastomosis was completed with staplers. The wound was closed in a single layer with non absorbable sutures. Skin closure was with similar sutures via an umbilicoplasty. Post operative pain control was with intravenous Tramadol. Parameters observed were operative time, post operative pain score, TMN staging, lymph node yield and number of involved nodes, involved margins and complications. A total of 21 cases were done during the study period, 3 SAL in 2010 and 8 in 2011. The mean age was 63.3 and 60.6 for conventional and SAL hemicolectomy respectively. Operative time was also similar with a mean of 166.6 minutes and 134 minutes respectively. Both were statistically insignificant. Pain score difference was statistically significant with a p value of 0.001. In regards to oncological clearance, all except 1 case was a T2 tumour, the rest of the cases was staged as T3. Nodal status ranged from N0 to N2. Lymph node yield in conventional laparoscopic surgery ranged from 8 to 50 nodes while in SAL hemicolectomy nodal yield ranged from 10 to 22 nodes. All cases had clear surgical margins. No complications were observed. With less pain patients are able to ambulate much faster thereby reducing post operative complications arising from prolonged rest in bed. However SAL has a steeper learning curve as there is a disadvantage from the lack of triangulation found in conventional techniques. More experience is needed and larger studies are required to assess the long term effects.


Session: Poster Presentation

Program Number: ETP077

135

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals