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Feasibility of Single-Incision Plus One Port Laparoscopic Low Anterior Resection for Rectal Cancer

Journal of Minimally Invasive Surgery 2020년 23권 3호 p.120 ~ 125
곽재영, 양관모, 한명식,
소속 상세정보
곽재영 ( Kwak Jae-Young ) - University of Ulsan College of Medicine Gangneung Asan Hospital Department of Surgery
양관모 ( Yang Kwan-Mo ) - University of Ulsan College of Medicine Gangneung Asan Hospital Department of Surgery
한명식 ( Han Myeong-Sik ) - University of Ulsan College of Medicine Gangneung Asan Hospital Department of Surgery

Abstract


Purpose: Single-incision laparoscopic surgery is a recently developed minimally invasive surgical technique. We aimed to compare the feasibility and safety of single-incision plus one port laparoscopic low anterior resection (S+1-LAR) with those of multi-port laparoscopic low anterior resection (M-LAR) for mid-to-low rectal cancer.

Methods: We retrospectively reviewed patient characteristics and surgical outcomes by assessing data collected from the medical records of patients who underwent elective laparoscopic low anterior resection for mid-to-low rectal cancer at the Gangneung Asan Hospital.

Results: From April 2015 to April 2019, 52 patients underwent S+1-LAR (n=28) or M-LAR (n=24) for midto- low rectal cancer at Gangneung Asan Hospital. There were no significant between-group differences in clinical characteristics. The mean postoperative 1-day pain score was significantly lower in the S+1-LAR group. Surgical outcomes and postoperative complications did not differ significantly between the two groups.

Conclusion: S+1-LAR is a feasible and safe technique and is comparable with M-LAR in terms of surgical outcomes of patients with mid-to-low rectal cancer.

키워드

Single incision; Rectal cancer; Laparoscopic surgery; Complication; Minimally invasive surgery

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