• 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 Right Colectomy Could be better than the Standard Approach In Patients with Colon Cancer

Elie K Chouillard, MD, PhD, Laura Montana, MD, Vanessa Caroni, MD, Ronald Daher, MD. Paris Poissy Medical Center

Background: Natural Orifice Translumenal Endoscopic Surgery (NOTES) is an emerging surgical approach. However, human applications of “pure” NOTES techniques in are still slowed down by major technical hurdles. Concomitantly, “Hybrid” variants of NOTES and single incision laparoscopy have been increasingly reported. By further reducing the invasiveness of the standard laparoscopic approach, we may further reduce post-operative pain, decrease overall morbidity, preserve the abdominal wall, and ultimately preserve cosmesis. Such techniques have been applied to many procedures including colorectal surgery. The aim of this study is to compare the short-term results of single incision laparoscopic right colectomy (SIRC) to the standard laparoscopic right colectomy (LRC) in patients with colorectal cancer.
Methods: SIRC was attempted in 54 patients (Group A) with colon adenocarcinoma. Exclusion criteria were emergency setting (i.e., obstruction, perforation), poor general status (ASA score > 3), and a history of major abdominal surgery. Right colectomy was performed using a transumbilical incision with a special platform. The patients were retrospectively matched according to gender, body mass index (BMI), and ASA score, with 56 other patients who had LRC for adenocarcinoma during the same study period (Group B).
Results: The procedure was completed in 50 patients (92.6 %) in Group A. In 4 patients, conversion to standard laparoscopy (2 patients) or laparotomy (2 patients) occurred. In Group B, no conversion to open surgery occurred. The mean operative time was 119 minutes (range, 50-245) in the Group A and 109 minutes (range, 65-285) in the Group B, respectively (p>0.05). No mortality occurred in either group

The operative morbidity rate was 7.4 % and 11.1 %, in Group A and B, respectively (p>0.05). No hemorrhage, no surgical site infection and no fistula were encountered in either groups. The mean length of hospital stay was 4.7 days (range, 3-14) in Group A and 6.9 days (range, 4-13) In Group B, respectively (p<0.05).

Group A patients used significantly less level III pain killers as compared to patients with group B. Histological parameters of the oncological quality of the resection (margins, completeness, nodes retrieval) were similar in both groups. The average global hospitalization cost was 5898 euros per patient in Group A and 7145 euros in Group B (p<0.05).

Conclusion: SIRC for selected patients with colon adenocarcinoma was found to be sure and feasible as compared to SRC in matched patients with the same disease. It may even offer advantages including less post operative pain, shortened hospital stay, and less cost.

66

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