Single-incision laparoscopic surgery for colon and rectal cancer: an initial experience with the technique

Background: Single-incision laparoscopic surgery seems destined to take its place in the evolution of minimally invasive surgery. Although isolated cases have been reported in the literature, no series has yet been published on the use of this approach to treat colorectal cancer. We describe the sur...

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Autores: Arteaga González, Iván Jesús, Martín Malagón, Antonio, González García, Sara, López-Tomassetti Fernández, Eudaldo, Carrillo Pallarés, Ángel
Tipo de recurso: artículo
Fecha de publicación:2013
País:España
Institución:Universidad de La Laguna (ULL)
Repositorio:RIULL. Repositorio Institucional de la Universidad de La Laguna
OAI Identifier:oai:riull.ull.es:915/41028
Acceso en línea:http://riull.ull.es/xmlui/handle/915/41028
Access Level:acceso abierto
Palabra clave:minimally invasive surgery
SILS
laparoscopy
colorectal cancer
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spelling Single-incision laparoscopic surgery for colon and rectal cancer: an initial experience with the techniqueArteaga González, Iván JesúsMartín Malagón, AntonioGonzález García, SaraLópez-Tomassetti Fernández, EudaldoCarrillo Pallarés, Ángelminimally invasive surgerySILSlaparoscopycolorectal cancerBackground: Single-incision laparoscopic surgery seems destined to take its place in the evolution of minimally invasive surgery. Although isolated cases have been reported in the literature, no series has yet been published on the use of this approach to treat colorectal cancer. We describe the surgical technique and perioperative outcomes of this approach in 15 patients diagnosed for colorectal cancer. Methods: We have used several devices to gain transumbilical access to the abdominal cavity, usually working with 3 cannulae to insert the instruments. We used a 5 mm endograsper, and articulated rotating (roticulating) endoscissors and endodissector to assist dissection. Vascular control and section of the rectum were performed using roticulating endostaplers. We combined the use of curved and straight instruments as required for each step during surgery. The dissection technique performed was the same as the one we normally use in conventional laparoscopy. Specimens were extracted through the umbilical incision. Results: The most commonly performed procedure was sigmoidectomy (n= 7), followed by high anterior resection of the rectum (n= 5). The mean surgical time was 185± 44.9 minutes. The mean hospital stay was 6.2± 4.7 days. Three cases (20%) were converted to conventional laparoscopy. Surgery was curative in all of the patients. Conclusions: Single-access transumbilical laparoscopic surgery is feasible and safe for treating colorectal carcinoma when performed by surgeons with ample experience in laparoscopic colorectal resection. Further studies are needed to determine the advantages and drawbacks of this procedure.Cirugía202520252013info:eu-repo/semantics/articleapplication/pdfhttp://riull.ull.es/xmlui/handle/915/41028reponame:RIULL. Repositorio Institucional de la Universidad de La Lagunainstname:Universidad de La Laguna (ULL)InglésSurgical Laparoscopy, Endoscopy & Percutaneous Techniques 23(6): p 494-497, December 2013.Licencia Creative Commons (Reconocimiento-No comercial-Sin obras derivadas 4.0 Internacional)info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-nd/4.0/deed.es_ESoai:riull.ull.es:915/410282026-06-22T13:13:57Z
dc.title.none.fl_str_mv Single-incision laparoscopic surgery for colon and rectal cancer: an initial experience with the technique
title Single-incision laparoscopic surgery for colon and rectal cancer: an initial experience with the technique
spellingShingle Single-incision laparoscopic surgery for colon and rectal cancer: an initial experience with the technique
Arteaga González, Iván Jesús
minimally invasive surgery
SILS
laparoscopy
colorectal cancer
title_short Single-incision laparoscopic surgery for colon and rectal cancer: an initial experience with the technique
title_full Single-incision laparoscopic surgery for colon and rectal cancer: an initial experience with the technique
title_fullStr Single-incision laparoscopic surgery for colon and rectal cancer: an initial experience with the technique
title_full_unstemmed Single-incision laparoscopic surgery for colon and rectal cancer: an initial experience with the technique
title_sort Single-incision laparoscopic surgery for colon and rectal cancer: an initial experience with the technique
dc.creator.none.fl_str_mv Arteaga González, Iván Jesús
Martín Malagón, Antonio
González García, Sara
López-Tomassetti Fernández, Eudaldo
Carrillo Pallarés, Ángel
author Arteaga González, Iván Jesús
author_facet Arteaga González, Iván Jesús
Martín Malagón, Antonio
González García, Sara
López-Tomassetti Fernández, Eudaldo
Carrillo Pallarés, Ángel
author_role author
author2 Martín Malagón, Antonio
González García, Sara
López-Tomassetti Fernández, Eudaldo
Carrillo Pallarés, Ángel
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Cirugía
dc.subject.none.fl_str_mv minimally invasive surgery
SILS
laparoscopy
colorectal cancer
topic minimally invasive surgery
SILS
laparoscopy
colorectal cancer
description Background: Single-incision laparoscopic surgery seems destined to take its place in the evolution of minimally invasive surgery. Although isolated cases have been reported in the literature, no series has yet been published on the use of this approach to treat colorectal cancer. We describe the surgical technique and perioperative outcomes of this approach in 15 patients diagnosed for colorectal cancer. Methods: We have used several devices to gain transumbilical access to the abdominal cavity, usually working with 3 cannulae to insert the instruments. We used a 5 mm endograsper, and articulated rotating (roticulating) endoscissors and endodissector to assist dissection. Vascular control and section of the rectum were performed using roticulating endostaplers. We combined the use of curved and straight instruments as required for each step during surgery. The dissection technique performed was the same as the one we normally use in conventional laparoscopy. Specimens were extracted through the umbilical incision. Results: The most commonly performed procedure was sigmoidectomy (n= 7), followed by high anterior resection of the rectum (n= 5). The mean surgical time was 185± 44.9 minutes. The mean hospital stay was 6.2± 4.7 days. Three cases (20%) were converted to conventional laparoscopy. Surgery was curative in all of the patients. Conclusions: Single-access transumbilical laparoscopic surgery is feasible and safe for treating colorectal carcinoma when performed by surgeons with ample experience in laparoscopic colorectal resection. Further studies are needed to determine the advantages and drawbacks of this procedure.
publishDate 2013
dc.date.none.fl_str_mv 2013
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://riull.ull.es/xmlui/handle/915/41028
url http://riull.ull.es/xmlui/handle/915/41028
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 23(6): p 494-497, December 2013.
dc.rights.none.fl_str_mv Licencia Creative Commons (Reconocimiento-No comercial-Sin obras derivadas 4.0 Internacional)
info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es_ES
rights_invalid_str_mv Licencia Creative Commons (Reconocimiento-No comercial-Sin obras derivadas 4.0 Internacional)
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es_ES
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:RIULL. Repositorio Institucional de la Universidad de La Laguna
instname:Universidad de La Laguna (ULL)
instname_str Universidad de La Laguna (ULL)
reponame_str RIULL. Repositorio Institucional de la Universidad de La Laguna
collection RIULL. Repositorio Institucional de la Universidad de La Laguna
repository.name.fl_str_mv
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