[Abstract] [Full Text HTML] [Full Text PDF] (in Japanese / 915KB)

J.Jpn. Surg. Soc.. 121(3): 288-293, 2020


Feature topic

SINGLE-INCISION LAPAROSCOPIC COLORECTAL RESECTION

Department of Gastroenterological Surgery, Saitama Medical University International Medical Center, Hidaka, Japan

Yasumitsu Hirano

Single-incision laparoscopic surgery (SILS) for colon cancer was first described in 2008. This procedure has the potential to improve cosmesis along with minimal port-site pain and port-related complications. However, the performance of SILS has not steadily increased in Japan because most surgeons find the technique more difficult than traditional laparoscopic surgery or have anxieties concerning its oncological safety. Five randomized controlled trials of SILS have been performed to date. They concluded there were no disadvantages of SILS over conventional laparoscopic surgery, and other retrospective studies revealed the long-term oncological safety of SILS in colorectal cancer patients. In the near future, new robotic technology may facilitate this procedure, and I believe that it will be a promising alternative method in the treatment of patients with colorectal cancer.


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