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Article: Single-incision laparoscopic colectomy: Early experience

TitleSingle-incision laparoscopic colectomy: Early experience
Authors
KeywordsLaparoscopic colectomy
Single-incision
Issue Date2010
PublisherSpringer New York LLC. The Journal's web site is located at http://www.springerlink.com/content/0012-3706/
Citation
Diseases Of The Colon And Rectum, 2010, v. 53 n. 3, p. 284-288 How to Cite?
AbstractPURPOSE: Single-incision laparoscopic surgery was developed recently and has the benefit of reducing the number of incisions. Its application in colectomy has been published only in case reports. The present study evaluated our early results of single-incision laproscopic surgery in a series of 8 patients who underwent colectomy for various colorectal pathologies. METHODS: Eight patients underwent single-incision laparoscopic colectomy for cancer (n = 5), polyps (n = 2), and diverticulitis (n = 1) during the study period. The data on the operations and outcomes were collected prospectively and analyzed. RESULTS: The median age of the patients was 78 years (range, 49-88). The operations were right colectomy (n = 6), left colectomy (n = 1), and anterior resection (n = 1). The median operating time was 175 minutes (range, 103-260) and the median blood loss was 55 mL (range, 20-200). The average length of the incision was 3.4 cm (range, 3.0-5.0). One patient required conversion to hand-assisted laparoscopy with a 5-cm incision. The median hospital stay was 3.5 days (range, 3-6) and 1 patient had ileus after the operation. There was no mortality and no reintervention within 30 days. In patients with cancer, all of the resection margins were clear. The median number of lymph nodes examined was 13.5 (range, 9-36). CONCLUSIONS: Single-incision laparoscopic surgery can be applied to colectomy safely. Oncologic resection similar to conventional laparoscopy can be performed with this technique. Further studies are needed to evaluate the outcomes against those of conventional laparoscopic resection. © The ASCRS 2010.
Persistent Identifierhttp://hdl.handle.net/10722/84468
ISSN
2023 Impact Factor: 3.2
2023 SCImago Journal Rankings: 0.865
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLaw, WLen_HK
dc.contributor.authorFan, JKMen_HK
dc.contributor.authorPoon, JTCen_HK
dc.date.accessioned2010-09-06T08:53:19Z-
dc.date.available2010-09-06T08:53:19Z-
dc.date.issued2010en_HK
dc.identifier.citationDiseases Of The Colon And Rectum, 2010, v. 53 n. 3, p. 284-288en_HK
dc.identifier.issn0012-3706en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84468-
dc.description.abstractPURPOSE: Single-incision laparoscopic surgery was developed recently and has the benefit of reducing the number of incisions. Its application in colectomy has been published only in case reports. The present study evaluated our early results of single-incision laproscopic surgery in a series of 8 patients who underwent colectomy for various colorectal pathologies. METHODS: Eight patients underwent single-incision laparoscopic colectomy for cancer (n = 5), polyps (n = 2), and diverticulitis (n = 1) during the study period. The data on the operations and outcomes were collected prospectively and analyzed. RESULTS: The median age of the patients was 78 years (range, 49-88). The operations were right colectomy (n = 6), left colectomy (n = 1), and anterior resection (n = 1). The median operating time was 175 minutes (range, 103-260) and the median blood loss was 55 mL (range, 20-200). The average length of the incision was 3.4 cm (range, 3.0-5.0). One patient required conversion to hand-assisted laparoscopy with a 5-cm incision. The median hospital stay was 3.5 days (range, 3-6) and 1 patient had ileus after the operation. There was no mortality and no reintervention within 30 days. In patients with cancer, all of the resection margins were clear. The median number of lymph nodes examined was 13.5 (range, 9-36). CONCLUSIONS: Single-incision laparoscopic surgery can be applied to colectomy safely. Oncologic resection similar to conventional laparoscopy can be performed with this technique. Further studies are needed to evaluate the outcomes against those of conventional laparoscopic resection. © The ASCRS 2010.en_HK
dc.languageengen_HK
dc.publisherSpringer New York LLC. The Journal's web site is located at http://www.springerlink.com/content/0012-3706/en_HK
dc.relation.ispartofDiseases of the Colon and Rectumen_HK
dc.subjectLaparoscopic colectomyen_HK
dc.subjectSingle-incisionen_HK
dc.subject.meshColectomy - methods-
dc.subject.meshColorectal Neoplasms - surgery-
dc.subject.meshDiverticulitis, Colonic - surgery-
dc.subject.meshLaparoscopy - methods-
dc.subject.meshsingle-incision-
dc.titleSingle-incision laparoscopic colectomy: Early experienceen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0012-3706&volume=53&issue=3&spage=284&epage=288&date=2010&atitle=Single-incision+laparoscopic+colectomy:+early+experienceen_HK
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_HK
dc.identifier.emailPoon, JTC: tcjensen@hkucc.hku.hken_HK
dc.identifier.authorityLaw, WL=rp00436en_HK
dc.identifier.authorityPoon, JTC=rp01603en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/DCR.0b013e3181c959baen_HK
dc.identifier.pmid20173474-
dc.identifier.scopuseid_2-s2.0-77949907858en_HK
dc.identifier.hkuros169263en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77949907858&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume53en_HK
dc.identifier.issue3en_HK
dc.identifier.spage284en_HK
dc.identifier.epage288en_HK
dc.identifier.isiWOS:000275267100007-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLaw, WL=7103147867en_HK
dc.identifier.scopusauthoridFan, JKM=23484820100en_HK
dc.identifier.scopusauthoridPoon, JTC=7005903722en_HK
dc.identifier.issnl0012-3706-

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