Author:
Tei Mitsuyoshi,Suzuki Yozo,Sueda Toshinori,Iwamoto Kazuya,Naito Atsushi,Nomura Masatoshi,Yoshikawa Yukihiro,Ohtsuka Masahisa,Imasato Mitsunobu,Mizushima Tsunekazu,Akamatsu Hiroki
Abstract
Abstract
Background
The clinical impact of single-incision laparoscopic surgery (SILS) for descending colon cancer (DCC) is unclear. The aim of this study was to evaluate the clinical outcomes of SILS for DCC compared with multi-port laparoscopic surgery (MPLS).
Methods
We retrospectively analyzed 137 consecutive patients with stage I–III DCC who underwent SILS or MPLS at two high-volume multidisciplinary tertiary hospitals between April 2008 and December 2018, using propensity score-matched analysis.
Results
After propensity score-matching, we enrolled 88 patients (n = 44 in each group). SILS was successful in 97.7% of the matched cohort. Compared with the MPLS group, the SILS group showed significantly less blood loss and a greater number of harvested lymph nodes. Morbidity rates were similar between groups. Recurrence pattern did not differ between groups. No significant differences were found between groups in terms of 3-year disease-free and overall survivals.
Conclusion
SILS appears safe and feasible and can provide satisfactory oncological outcomes for patients with DCC.
Publisher
Springer Science and Business Media LLC
Subject
Gastroenterology,General Medicine
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献