Comparison of clinical outcomes of single-incision versus multi-port laparoscopic surgery for descending colon cancer: a propensity score-matched analysis
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 1...
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | BMC Gastroenterology |
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| Online Access: | https://doi.org/10.1186/s12876-022-02597-z |
| _version_ | 1811302216591474688 |
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| author | Mitsuyoshi Tei Yozo Suzuki Toshinori Sueda Kazuya Iwamoto Atsushi Naito Masatoshi Nomura Yukihiro Yoshikawa Masahisa Ohtsuka Mitsunobu Imasato Tsunekazu Mizushima Hiroki Akamatsu |
| author_facet | Mitsuyoshi Tei Yozo Suzuki Toshinori Sueda Kazuya Iwamoto Atsushi Naito Masatoshi Nomura Yukihiro Yoshikawa Masahisa Ohtsuka Mitsunobu Imasato Tsunekazu Mizushima Hiroki Akamatsu |
| author_sort | Mitsuyoshi Tei |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-13T07:24:06Z |
| format | Article |
| id | doaj.art-d073519df7b3471caa206c57e6b228e0 |
| institution | Directory Open Access Journal |
| issn | 1471-230X |
| language | English |
| last_indexed | 2024-04-13T07:24:06Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Gastroenterology |
| spelling | doaj.art-d073519df7b3471caa206c57e6b228e02022-12-22T02:56:33ZengBMCBMC Gastroenterology1471-230X2022-12-012211910.1186/s12876-022-02597-zComparison of clinical outcomes of single-incision versus multi-port laparoscopic surgery for descending colon cancer: a propensity score-matched analysisMitsuyoshi Tei0Yozo Suzuki1Toshinori Sueda2Kazuya Iwamoto3Atsushi Naito4Masatoshi Nomura5Yukihiro Yoshikawa6Masahisa Ohtsuka7Mitsunobu Imasato8Tsunekazu Mizushima9Hiroki Akamatsu10Department of Surgery, Osaka Rosai HospitalDepartment of Surgery, Toyonaka Municipal HospitalDepartment of Surgery, Osaka Rosai HospitalDepartment of Surgery, Osaka Police HospitalDepartment of Surgery, Osaka Police HospitalDepartment of Surgery, Osaka Rosai HospitalDepartment of Surgery, Osaka Rosai HospitalDepartment of Surgery, Osaka Police HospitalDepartment of Surgery, Osaka Police HospitalDepartment of Surgery, Osaka Police HospitalDepartment of Surgery, Osaka Minato Central HospitalAbstract 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.https://doi.org/10.1186/s12876-022-02597-zSingle-incision laparoscopic surgeryDescending cancerOutcome |
| spellingShingle | Mitsuyoshi Tei Yozo Suzuki Toshinori Sueda Kazuya Iwamoto Atsushi Naito Masatoshi Nomura Yukihiro Yoshikawa Masahisa Ohtsuka Mitsunobu Imasato Tsunekazu Mizushima Hiroki Akamatsu Comparison of clinical outcomes of single-incision versus multi-port laparoscopic surgery for descending colon cancer: a propensity score-matched analysis BMC Gastroenterology Single-incision laparoscopic surgery Descending cancer Outcome |
| title | Comparison of clinical outcomes of single-incision versus multi-port laparoscopic surgery for descending colon cancer: a propensity score-matched analysis |
| title_full | Comparison of clinical outcomes of single-incision versus multi-port laparoscopic surgery for descending colon cancer: a propensity score-matched analysis |
| title_fullStr | Comparison of clinical outcomes of single-incision versus multi-port laparoscopic surgery for descending colon cancer: a propensity score-matched analysis |
| title_full_unstemmed | Comparison of clinical outcomes of single-incision versus multi-port laparoscopic surgery for descending colon cancer: a propensity score-matched analysis |
| title_short | Comparison of clinical outcomes of single-incision versus multi-port laparoscopic surgery for descending colon cancer: a propensity score-matched analysis |
| title_sort | comparison of clinical outcomes of single incision versus multi port laparoscopic surgery for descending colon cancer a propensity score matched analysis |
| topic | Single-incision laparoscopic surgery Descending cancer Outcome |
| url | https://doi.org/10.1186/s12876-022-02597-z |
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