ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2014
Feasibility of single-port laparoscopic surgery for sigmoid colon and rectal cancers and preoperative assessment of operative difficulty.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 23 citations in OpenAlex.
- Trial
- Simultaneous Resection of Rectal and Gastric Cancer with the da Vinci Single-Port System: A Case Report.Journal of the anus, rectum and colon · 2026Article
- Reduced port laparoscopic rectopexy for full-thickness rectal prolapse.BMC surgery · 2024Article
- Questionnaire to Survey Cosmetic Outcomes in Laparoscopic Surgery for Colorectal Cancer.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- Descending Colon Cancer Resection Using the da Vinci SP with an Access Port kit: World's First Case.Journal of the anus, rectum and colon · 2024Article
- Learning curve for single-port robot-assisted rectal cancer surgery.Annals of surgical treatment and research · 2022Article
- Long-term outcomes of single-incision versus multiport laparoscopic colectomy for colon cancer: results of a propensity score-based analysis.Surgical endoscopy · 2022Article
- Glove single-port laparoscopy-assisted transanal total mesorectal excision for low rectal cancer: a preliminary report.World journal of surgical oncology · 2019Article
- Safety and Feasibility of Umbilical Diverting Loop Ileostomy for Patients with Rectal Tumor.World journal of surgery · 2017Article
- Assessment of treatment options for rectosigmoid cancer: single-incision plus one port laparoscopic surgery, single-incision laparoscopic surgery, and conventional laparoscopic surgery.Surgical endoscopy · 2017Article
- Factors Influencing Difficulty of Laparoscopic Abdominoperineal Resection for Ultra-Low Rectal Cancer.Surgical laparoscopy, endoscopy & percutaneous techniques · 2017Article
- Patient Body Image and Satisfaction with Surgical Wound Appearance After Reduced Port Surgery for Colorectal Diseases.World journal of surgery · 2016Article
- Article
- Transanal total mesorectal excision assisted by single-port laparoscopic surgery for low rectal cancer.Techniques in coloproctology · 2015Article
- Single-site laparoscopic colectomy for rectosigmoid cancer with middle aortic syndrome: report of a case.Surgical case reports · 2015Article
- Use of a multi-instrument access device in abdominoperineal resections.Journal of minimal access surgeryArticle
Corrections and comments
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSingle-port laparoscopic surgery is more difficult for sigmoid colon and rectal cancers than for right-sided colon cancer. We sought to analyze the feasibility of this procedure for sigmoid colon and rectal cancers and to estimate its difficulty.
methodsWe analyzed prospectively collected data from 63 consecutive patients with sigmoid colon or rectal cancers who underwent single-port laparoscopic surgery at our institution from June 2009 to December 2011. Patient and tumor characteristics, including patients' pelvic anatomy which was assessed on CT scan imaging, were evaluated to elucidate what factors would affect the difficulty of the procedure and the necessity of using an additional trocar.
resultsOverall, the median operative duration was 190 min and blood loss was 20 ml, with no postoperative complications. The median number of lymph nodes harvested was 17 and the distal margin was 58 mm. The tumor was located significantly closer to the anus in cases in which an additional trocar was required in the right lower quadrant (9.5 vs 18 cm, p < 0.0001). Procedural difficulty was significantly increased in cases in which the sacral promontory protruded ventrally (odds ratio 0.779 [95% confidence interval 0.613 to 0.945], p = 0.0236).
conclusionsDepending on tumor location and sacral promontory shape, the introduction of an additional trocar might render single-port laparoscopic surgery feasible for sigmoid colon and rectal cancer resection.
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