Background/Purpose: Laparoscope-assisted colectomy (LAC) has become popular for the treatment of colorectal cancer. Single incision laparoscopic surgery (SILS) has also rapidly emerged and applied to cholecystectomy, appendectomy, bariatric procedures and so on. We report our early experience of Single Incision Laparoscopic Colectomy (SILC) for right colon cancer.
Materials and Methods: Since May 2009, SILC was attempted in 7 patients (median age 66.4, 57-81 years, 3 female and 4 male) with median BMI 21.5 (19.5~23.2) in our university hospital. These preoperative diagnoses were performed by total colonoscopy and computed tomography. Three right colectomies and four right hemi-colectomies were performed for three T1 and four T2 colon camcers.
Results: All procedures were successfully achieved through the single umbilical skin incision with three ports without conversion to conventional LAC. Dissection of regional lymph nodes was performed, namely D2 dissection for T1 cancer and D3 dissection for T2 cancer as well as the conventional LAC were performed. Median operative time was 188 min.(156~234), median blood loss 89g(46~137), and median hospital stay 8.8 days(8~10). All patients were subjectively satisfactory of the cosmetic appearance and less pain.
Conclusion: SILC procedure for right colon cancer was feasible and safe when performed by experienced laparoscopic surgeons. Results are promising but additional experience and continued investigations will need to be done.
Program Number: P125