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

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • 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
    • 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
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • SAGES 2021 Annual Meeting
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2021
      • SAGES 2020
      • SAGES 2019
      • SAGES 2018
    • 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
    • Video Based Assessments (VBA)
    • 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
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • 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
  • Store
    • SAGES Logo Products
    • “Unofficial” Logo Products
  • Log In

Strategy and Short-term outcomes of Single Incision Laparoscopic Colorectal resection (SILC) in our consecutive 150 Colorectsl Cancers

Goutaro Katsuno, MD, PhD, Masaki Fukunaga, MD, PhD, Yoshifumi Lee, MD, PhD, Kunihiko Nagakari, MD, PhD, Masahiko Sugano, MD, PhD, Msaru Suda, MD, PhD, Yoshito Iida, MD, PhD, Shuichi Sakamoto, MD, PhD, Seiichirou Yoshikawa, MD, PhD, Yoshitomo Ito, MD, PhD, Masakazu Ouchi, MD, PhD, Emi Tokuda, MD, PhD, Yoshinori Hirasaki, MD, PhD

Department of Surgery, Juntendo Urayasu Hospital, Juntendo University,

Background: Single-incision laparoscopic colorectal resection (SILC) is a recent development of minimally invasive surgery. We report here the strategy and short-term outcomes of the consecutive 150 patients who were treated with SILC for colorectal cancer in these 3 years.

Indications for SILC: The indications for SILC were as follows: (1) tumors located at the cecum, ascending colon, right side of transverse colon, sigmoid colon, or upper rectum; (2) tumor size (less than 7cm); (3) cSE(-); (4) cN0 or cN1; (5) cP(-); and (6) thick bulky mesorectum/mesocolon(-).

Study Design/Method: We reviewed the clinical records of 150 patients who underwent SILC for colorectal cancer between April 2009 and September 2012 at the Department of Surgery of Juntendo University Urayasu Hospital

Procedures: A vertical incision (approximate mean length 2.5 cm) was made. After inserting an atraumatic wound retractor (AlexisTM), which remained in place throughout the procedure, the multi-access port (SILSTM port or EZ accessTM) was manually inserted into the incision. In most cases, standard straight laparoscopic instrument were used. All SILC procedures were performed using similar surgical technique to our standard laparoscopic procedures. Left-sided anastomoses were performed intracorporeally with a circular stapler; right-sided anastomoses were performed extracorporeally. In left-sided colon cancer cases, we usually divide the colon or rectum using the articulating instrument inserted directly through the multi-access port without using an additional port. However, when it is technically difficult to divide the rectum at the lower level, we often use the additional port or NOSE(Natural Orifice Specimen Extraction) technique with prolapsing method to divide the rectum more confidently. We have ever experienced 70 NOSE cases including conventional laparoscocpic colo-rectal resections. In these cases, there was no anastmotic leakage.

Results: 150 SILC procedures were performed. Of them, NOSE with prolapsing method was used in 10 rectal cancer patients, and the additional port technique in 14 patients. The mean operating time was 146 ± 39 min. The mean bleeding volume was 27.1± 16 ml. There was no intraoperative complication. The mean hospital stay was 9.6 ± 1.6 days. Postoperatively, there was no mortality and no major postoperative complications such as anastmotic leakage. One patient (0.7%) was converted to the conventional laparoscpic procedure after single incision approach due to severe adhesion. The number of harvested lymph node was 18±2.1. The mean tumor-free resection margin was 11 ± 4.8 (range, 6–16) cm. Although the postoperative follow-up period to date is still short (median observation period: 21 months), no tumor recurrence or metastasis has been found in any of the cases.

Conclusion: Single-incision laparoscopic colo-rectal resection for selected patients is safe, feasible, and oncologically sound in our experiences. In the difficult cases when pure SILC can not be carried out, additional port technique or NOSE technique could be useful.


Session: Poster Presentation

Program Number: P482

72

Share this:

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

Related

« Return to SAGES 2013 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Surgery is Safer with Vaccination 1

Addressing Religious Concerns About COVID-19 Vaccine

This may be a difficult subject matter for you and your patient to talk about.  Be assured, all major organized religious groups encourage and recommend the COVID-19 vaccine. Listed below are references and websites you can direct your patient towards to help them make an informed decision with regards to their religious concerns against the […]

SAGES Statement on AAPI Violence

The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) stands in solidarity with the Asian American and Pacific Islander (AAPI) community. In the summer of 2020, SAGES released a statement condemning the violence, racism, and hatred toward the Black community in the wake of George Floyd and Breonna Taylor’s murders. It is with great sorrow […]

Free SAGES Webinar: Lessons from COVID on Living and Thriving as Surgeons

SAGES recognizes that the COVID-19 pandemic has had a big impact on surgical practice and in surgeon wellness. SAGES’ Reimagining the Practice of Surgery Taskforce will present “Finding the Opportunities: Lessons from COVID and How We Live and Thrive as Surgeons”  to look at ways in which innovative leadership at various levels may help transform […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
[email protected]
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2022 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

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

Copyright © 2022 Society of American Gastrointestinal and Endoscopic Surgeons