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KMID : 1035920200230030120
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Journal of Minimally Invasive Surgery
2020 Volume.23 No. 3 p.120 ~ p.125
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Feasibility of Single-Incision Plus One Port Laparoscopic Low Anterior Resection for Rectal Cancer
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Kwak Jae-Young
Yang Kwan-Mo
Han Myeong-Sik
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Abstract
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Purpose: Single-incision laparoscopic surgery is a recently developed minimally invasive surgical technique. We aimed to compare the feasibility and safety of single-incision plus one port laparoscopic low anterior resection (S+1-LAR) with those of multi-port laparoscopic low anterior resection (M-LAR) for mid-to-low rectal cancer.
Methods: We retrospectively reviewed patient characteristics and surgical outcomes by assessing data collected from the medical records of patients who underwent elective laparoscopic low anterior resection for mid-to-low rectal cancer at the Gangneung Asan Hospital.
Results: From April 2015 to April 2019, 52 patients underwent S+1-LAR (n=28) or M-LAR (n=24) for midto- low rectal cancer at Gangneung Asan Hospital. There were no significant between-group differences in clinical characteristics. The mean postoperative 1-day pain score was significantly lower in the S+1-LAR group. Surgical outcomes and postoperative complications did not differ significantly between the two groups.
Conclusion: S+1-LAR is a feasible and safe technique and is comparable with M-LAR in terms of surgical outcomes of patients with mid-to-low rectal cancer.
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KEYWORD
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Single incision, Rectal cancer, Laparoscopic surgery, Complication, Minimally invasive surgery
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