Transumbilical single-incision plus one-port laparoscopic surgery for colorectal cancer: A feasibility study / 中国肿瘤临床

ABSTRACT

To explore the safety and feasibility of single-incision plus one-port laparoscopic surgery (SILS+1) for colorectal cancer. Methods: The clinical data of 8 patients with colorectal cancer who were admitted to hospital for transumbilical SILS+1 between October 2017 and November 2019 were retrospectively analyzed. Results: The procedure was successfully performed in all 8 cases, without needing to convert to open surgery or increase the number of punch holes. The mean operating time was 107 minutes (range 95 to 124 minutes). Blood loss ranged from 10 to 80 mL (median 33 mL). Two patients had a fever postoperatively. Postoperative heat absorption was considered, and the fever reduced after the third day. The other patients had no obvious surgical complications. Gastrointestinal function was restored 1 to 3 days after the operation, and the abdominal drainage tube was removed after 3 to 5 days. The average hospital stay was 9.3 days (range 7 to 11 days). Postoperative pathology confirmed colorectal adenocarcinoma in all patients. The average number of lymph nodes detected was 13.6 (range 11-16). No perioperative complications or deaths occurred. Patients were followed up for 3-24 months (average 10 months), and no local recurrence or distant metastases were found. Conclusions: Although SILS+1 for colorectal cancer appears to be safe and feasible, with minimal trauma and satisfactory cosmetic effect, the long-term effects require further observation.