Sheng-Chi Chang, William Tzu-Lian Chen, Hei-Ming Wang, Ta-Wei Ke. China Medical University Hospital
Background: Extension of the single incision for the purpose of specimen removal in single-incision plus one additional port laparoscopic surgery (SILS+1) can undermine the merits of SILS+1, either by increasing wound-related morbidity or by destroying cosmesis.
Methods: We retrospectively analyzed the clinical outcomes of patients underwent elective SILS+1 anterior resection, either with transanal specimen extraction (TASE, n = 25) or transumbilical specimen extraction (TUSE, n = 77), for colorectal cancer from January 2014 to June 2017. This study included patients with a tumor diameter less than 5 cm, measured by preoperative computer tomography.
Results: Both groups were similar in patient’s basic information and oncologic condition. Most surgical data and postoperative clinical variables were comparable between TASE and TUSE group, except for Increasing operative time in TASE (210.2+45.7 vs. 167 ± 43.4 min, P = 0.032) and reducing wound complications in TASE (0% vs 14.6%, p=0.043). Dosage requirement of narcotic analgesics was not inferior in TASE group compare to TUSE group. No significant differences were observed in conversion rate, perioperative and overall morbidity between the two groups.
Conclusion: Although SILS+1 with TASE prolonged operative time compare to with TUSE, implement of TASE is expected to provide benefit of reduced wound-related morbidity in patients with a tumor diameter less than 5 cm.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87730
Program Number: P716
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster