Ren Zhao, Xi Cheng, Yimei Jiang. Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China 200025 2.Shanghai Institute of Digestive Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China 200025
Introduction: Conventional 5 incision laparoscopic surgery procedure for rectal cancer is widely accepted as a successful alternative to laparotomy now, bestowing specific advantages without causing detriment to oncological outcome. Evolving from this, single-incision laparoscopic surgery (SILS) has been successfully utilized for the removal of colonic tumors, but the literature lacks sufficient data analyzing the suitability of SILS for rectal cancer especially for total resection mesorectal excision (TME), particularlyon oncological outcome. We report the short-term clinical and oncological outcomes from a large cases retrospective analysis of observational study of SILS for TME procedure of rectal cancer.
Methods: 95 rectal cancer patients who underwent transumbilical single incision laparoscopic TME surgery were recruited in the current study. Short-term perioperative clinical parameters and oncological outcomes were observed and all patients were followed up after surgery. Then summarize the preliminary application results.
Results: 87 operations were accomplished successfully with single incision laparoscopy, 7 patients were converted to multiport approach, and 1 was converted to laparotomy, no diverting ileostomy was performed. The average operative time was (128.5±43.6)min, with an average blood loss of (75.5±121.7) ml, the median postoperative hospital stay was (10.3±2.1)days. All patients received a R0 resection and the surgical margin were conformed negative in all 87 cases, the median number of harvested lymph node is (18.4±8.9), the specimens met the requirement of TME. There were 3 postoperational complications, no operation-related mortality or postoperative anastomotic leakage was observed. No patient appeared recurrent in a median follow up of 14 months.
Conclusions: Total mesorectal excision surgery for rectal cancer can be safely performed using transumbilical single incision laparoscopic technique, with acceptable short-term clinical and oncological outcome.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 84842
Program Number: P269
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster