• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Single Incision Laparoscopic Colectomy (silc) for Colon Cancer: A Retrospective Matched Case-Control Study in 50 Patients ~short Term Results~

Goutaro Katsuno, MD PhD, Masaki Fukunaga, MD PhD, Hidenori Tsumura, MD PhD, Masahiko Sugano, MD PhD, Yoshifumi Lee, MD PhD, Kunihiko Nagakari, MD PhD, Shuichi Sakamoto, MD PhD, Masaru Suda, MD PhD, Yoshito Iida, MD PhD, Seiichiro Yoshikawa, MD PhD,. Department of Surgery, Juntendo Urayasu Hospital, Juntendo University,

Background: Transumbilical single port surgery (SPS) has been developed with the aim of further reducing the invasiveness of conventional laparoscopic surgery because of the inconvenience associated with natural orifice transluminal endoscopic surgery (NOTES). We conducted a retrospective matched case-control study to compare the short-term outcomes of Single Incision Laparoscopic Colectomy (SILC) and conventional laparoscopic colectomy (LAC) for colon cancer.
Indications for SILC: The indications for SILC were as follows: (1) tumors located at the cecum, ascending colon, sigmoid colon, or upper rectum; (2) relatively small tumor (less than 4cm); (3) cSE(-); (4) cN0 or cN1; (5) cP(-); and (6) thick bulky mesorectum/mesocolon(-) (BMI <25).
Study Design/Method:
The 50 patients who underwent SILC were matched with 50 patients undergoing LAC from a database of 1500 patients. The two groups were matched in terms of BMI, age, gender, type of resection, and indication criteria for SILC. The outcomes of the patients in the two groups were then compared
Procedures: A single intraumbilical 25-30 mm incision was made, and the umbilicus was pulled out, exposing the fascia with moderate subcutaneous exfoliation. Three 5-mm ports or a multi-instrument access port were placed at the umbilical site. The umbilicus was the access point of entry to the abdomen for all patients. SILC was performed using a surgical technique similar to the standard laparoscopic medial-to-lateral approach. The bowel was transected either intracorporeally or extracorporeally with lymph node dissection, and then a stapled anastomosis was performed
Results: Mean operating times were comparable between SILC and LAC groups (146.3 ± 39.2 min versus 158.7 ± 49.8 min, not significant (NS)). Mean bleeding volumes were comparable between the two groups (29.1 ± 21 ml versus 30.7 ± 23 ml, NS). One patient (2%) required conversion to LAC due to dense adhesions. Postoperatively, there was no mortality in either group. In terms of analgesic use, there was no difference between the two groups (1.0 ± 1.3 times versus 1.1 ± 0.8 times, NS). The mean hospital stay was 9.7 ± 1.7 days in the SILC group and 9.8 ± 2.6 days in the LAC group (NS). The overall rate of postoperative complications was similar in both groups (6.0% versus 8.0%, NS). The wound was infected in 4% of patients in each group. There was no small bowel obstruction in either group. Other postoperative complications included hematochezia in one patient in the SILC group, and enteritis in two patients in the LAC group. The number of harvested lymph nodes was comparable between the two groups (18.3 ± 4 versus 17.9 ± 4, NS)
Conclusion: This matched case–control study suggested that SILC for colon cancer is feasible and safe in selected patients and can result in good surgical results, with similar postoperative outcomes to LAC.


Session: Poster
Program Number: P112
View Poster

197

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

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!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons