Single Umbilical Incision Laparoscopic Colectomy With an Additional Port for Colorectal Cancer

Sang Woo Lim, MD PhD, Hun Jin Kim, MD, Chang Hyun Kim, MD, Jung Wook Huh, MD PhD, Young Jin Kim, MD PhD, Hyeong Rok Kim, MD PhD. Department of Colon and Rectal Surgery, Chonnam National University Hwasun Hospital


INTRODUCTION The aim of our study was to compare outcomes for single umbilical incision laparoscopic colectomy with an additional port (SULAP) and conventional laparoscopic colectomy. MATERIALS AND METHODS One hundred sixty-three patients with colorectal adenocarcinoma were received laparoscopic colectomy between February 2011 and August 2011. Forty patients of SULAP group were compared with 123 patients of conventional laparoscopic surgery group. Demographic, intraoperative, and postoperative data were analyzed. RESULTS Demographic data of age, gender, body mass index were similar in both groups. Conventional laparoscopic surgery group had more previous operation history (0/40 vs. 12/123, p=0.040). Operation time was longer in SULAP group than in conventional group (225.5 min vs. 144.6 min, p=0.000). One conversion to open surgery due to distant metastasis in SULAP group and another conversion with adhesion in conventional group were noted (1/40 vs. 1.123, p=0.40). Tumor size (3.9 cm vs. 4.1 cm, p=0.455), harvested lymph nodes (25.3 vs. 28.3, p=0.203), and distal resection margins (5.7 cm vs. 7.0 cm, p=0.151) were not different significantly between SULAP and conventional group. SULAP and conventional group were similar in estimated blood loss (183.4 ml vs. 170.8ml, p=0.260), transfusion (p=0.841), and hospital stay (7.7 day vs. 7.8 day, p=0.862). Postoperative morbidity were similar in both groups (5/40 vs. 18/123, p=0.736).
CONCLUSION Umbilical incision laparoscopic colorectal cancer surgery with an additional port is a feasible and safe approach, although it takes more time than conventional laparoscopic colectomy.


Session Number: Poster – Poster Presentations
Program Number: P098
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