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Article: Single-incision versus conventional laparoscopic colectomy for colonic neoplasm: a randomized, controlled trial

TitleSingle-incision versus conventional laparoscopic colectomy for colonic neoplasm: a randomized, controlled trial
Authors
KeywordsCancer
Colorectal
Issue Date2012
PublisherSpringer New York LLC. The Journal's web site is located at http://link.springer-ny.com/link/service/journals/00464/
Citation
Surgical Endoscopy, 2012, v. 26 n. 10, p. 2729-2734 How to Cite?
AbstractBackground: Single-incision laparoscopic colectomy (SILC) is a newly developed procedure with the benefit of better cosmetic outcome and potentially reduced wound pain compared with conventionally laparoscopic colectomy (CLC). However, the application of SILC requires careful evaluation to prove its benefit and safety. This randomized, controlled study compared the operative outcome of patients who underwent SILC and CLC. Methods: Patients who had small cancer (<4 cm) or adenomatous polyp requiring colectomy were randomized to have SILC or CLC. The patients were blinded to the procedures and the postoperative pain was used as the primary outcome measure. All patients had patient-controlled analgesia with intravenous morphine after the operation and the nominal rating score on days 1-3 and day 14 were recorded by research staff, who did not known the types of operations. Other operative outcomes of the two groups of patients also were recorded prospectively and compared. Results: There were 25 patients in each group. The patients' demographics, tumor characteristics, operating time, blood loss, complication rate, number of lymph nodes harvested, and resection margin have no statistically significant difference between the two groups. There was no operative mortality in both groups. The SILC group had consistently lower median pain score than CLC group in the whole postoperative course and the difference was statistically significant on day 1 (0 (0-5) vs. day 3 (0-6) respectively; p = 0.002) and day 2 (0 (0-3) vs. 2 (0-8) respectively; p = 0.014). The median hospital stay in the SILC group also was shorter the CLC group. Conclusions: In a selected group of patients with small tumor and good operative risk, SILC is a safe alternative to CLC. Single-port laparoscopic colectomy also is associated with the benefits of less postoperative pain and shorter hospital stay than CLC. © 2012 Springer Science+Business Media, LLC.
Persistent Identifierhttp://hdl.handle.net/10722/152876
ISSN
2014 Impact Factor: 3.256
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorPoon, JTCen_HK
dc.contributor.authorCheung, CWen_HK
dc.contributor.authorFan, JKMen_HK
dc.contributor.authorLo, OSHen_HK
dc.contributor.authorLaw, WLen_HK
dc.date.accessioned2012-07-16T09:51:05Z-
dc.date.available2012-07-16T09:51:05Z-
dc.date.issued2012en_HK
dc.identifier.citationSurgical Endoscopy, 2012, v. 26 n. 10, p. 2729-2734en_HK
dc.identifier.issn0930-2794en_HK
dc.identifier.urihttp://hdl.handle.net/10722/152876-
dc.description.abstractBackground: Single-incision laparoscopic colectomy (SILC) is a newly developed procedure with the benefit of better cosmetic outcome and potentially reduced wound pain compared with conventionally laparoscopic colectomy (CLC). However, the application of SILC requires careful evaluation to prove its benefit and safety. This randomized, controlled study compared the operative outcome of patients who underwent SILC and CLC. Methods: Patients who had small cancer (<4 cm) or adenomatous polyp requiring colectomy were randomized to have SILC or CLC. The patients were blinded to the procedures and the postoperative pain was used as the primary outcome measure. All patients had patient-controlled analgesia with intravenous morphine after the operation and the nominal rating score on days 1-3 and day 14 were recorded by research staff, who did not known the types of operations. Other operative outcomes of the two groups of patients also were recorded prospectively and compared. Results: There were 25 patients in each group. The patients' demographics, tumor characteristics, operating time, blood loss, complication rate, number of lymph nodes harvested, and resection margin have no statistically significant difference between the two groups. There was no operative mortality in both groups. The SILC group had consistently lower median pain score than CLC group in the whole postoperative course and the difference was statistically significant on day 1 (0 (0-5) vs. day 3 (0-6) respectively; p = 0.002) and day 2 (0 (0-3) vs. 2 (0-8) respectively; p = 0.014). The median hospital stay in the SILC group also was shorter the CLC group. Conclusions: In a selected group of patients with small tumor and good operative risk, SILC is a safe alternative to CLC. Single-port laparoscopic colectomy also is associated with the benefits of less postoperative pain and shorter hospital stay than CLC. © 2012 Springer Science+Business Media, LLC.en_HK
dc.languageengen_US
dc.publisherSpringer New York LLC. The Journal's web site is located at http://link.springer-ny.com/link/service/journals/00464/en_HK
dc.relation.ispartofSurgical Endoscopyen_HK
dc.subjectCanceren_HK
dc.subjectColorectalen_HK
dc.titleSingle-incision versus conventional laparoscopic colectomy for colonic neoplasm: a randomized, controlled trialen_HK
dc.typeArticleen_HK
dc.identifier.emailPoon, JTC: tcjensen@hkucc.hku.hken_HK
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_HK
dc.identifier.authorityPoon, JTC=rp01603en_HK
dc.identifier.authorityLaw, WL=rp00436en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s00464-012-2262-zen_HK
dc.identifier.pmid22538676-
dc.identifier.scopuseid_2-s2.0-84871609834en_HK
dc.identifier.hkuros200929en_US
dc.identifier.hkuros204272-
dc.identifier.volume26en_US
dc.identifier.spage2729en_HK
dc.identifier.epage2734en_HK
dc.identifier.isiWOS:000309175200004-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridPoon, JTC=7005903722en_HK
dc.identifier.scopusauthoridCheung, CW=36664372900en_HK
dc.identifier.scopusauthoridFan, JKM=55194553300en_HK
dc.identifier.scopusauthoridLo, OSH=36725783400en_HK
dc.identifier.scopusauthoridLaw, WL=7103147867en_HK
dc.identifier.citeulike10652109-

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