• Am. J. Surg. · Sep 2013

    Comparative Study

    Single incision vs conventional laparoscopic anterior resection for sigmoid colon cancer: a case-matched study.

    • Seung-Jin Kwag, Jun-Gi Kim, Seong-Taek Oh, and Won-Kyung Kang.
    • Department of Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea, Korea.
    • Am. J. Surg. 2013 Sep 1; 206 (3): 320-5.

    BackgroundThe purpose of the study was to evaluate the safety and effects of single-incision laparoscopic anterior resection (SILAR) for sigmoid colon cancer by comparing it with conventional laparoscopic anterior resection (CLAR).MethodsTwenty-four patients who underwent SILAR between April 2010 and July 2011 were case matched 1:2 with patients who underwent CLAR, with respect to age, sex, body mass index, tumor location, and history of abdominal surgery.ResultsTwo patients in the SILAR group and 1 patient in the CLAR group experienced anastomotic leakage. The operative time was longer in the SILAR group than in the CLAR group (251 ± 50 vs 237 ± 49 minutes; P = .253). The number of harvested lymph nodes (19.6 ± 10.7 vs 20.8 ± 7.7; P = .630) was not different. The postoperative hospital stay was shorter in the SILAR group (7.1 ± 3.4 days) than in the CLAR group (8.1 ± 3.5 days) (P = .234).ConclusionsOn the basis of the early outcomes, we conclude that SILAR is feasible and safe. Moreover, the adequate lymph node harvest and free margins support the use of this procedure.Copyright © 2013 Elsevier Inc. All rights reserved.

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