Single site laparoscopic right hemicolectomy: an oncological feasible option.
BACKGROUND
We present the first 7 cases of single site right hemicolectomy in Asia using the new Single Site Laparoscopy (SSL) access system from Ethicon Endo-surgery.


METHODS
Right hemicolectomy was performed using the new Single Site Laparoscopy (SSL) access system. Patient demographics, operative time, histology and post operative recovery and complications were collected and analysed.


RESULTS
The median operative time was 90 mins (range 60 - 150 mins) and a median wound size of 2.5 cm (range 2 to 4.5 cm). The median number of lymph nodes harvested was 24 (range 20 to 34 lymph nodes). The median length of proximal margin was 70 mm (range 30 to 145 mm) and that of distal margin was 50 mm (35 to 120 mm). All patients had a median hospital stay of 7 days (range 5 to 11) and there were no significant perioperative complications except for 1 patient who had a minor myocardial event.


CONCLUSIONS
Right hemicolectomy using SSL access system is feasible and safe for oncologic surgery.
Lim
Yon Kuei
YK
Department of Colorectal Surgery, Singapore General Hospital, Singapore.
Ng
Kheng Hong
KH
Eu
Kong Weng
KW
D000368:Aged; D003082:Colectomy / Q000379:methods*; D003110:Colonic Neoplasms / Q000175:diagnosis / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome
Dis Colon Rectum. 2010 Jun;53(6):944-8
20485010
Int J Colorectal Dis. 2008 Oct;23(10):1013-6
18607608
Colorectal Dis. 2008 Oct;10(8):823-6
18684153
Surg Endosc. 2010 Oct;24(10):2613-6
20364353
World J Gastroenterol. 2010 Jan 14;16(2):275-8
20066750
Tech Coloproctol. 2010 Sep;14(3):225-8
20589521
Colorectal Dis. 2011 Apr;13(4):393-8
20002691
Surg Endosc. 2010 Dec;24(12):3016-25
20490568