Usefulness of one suprapubic assist port in umbilical incision laparoscopic surgery for right-side colon cancer.
OBJECTIVE
Although single incision laparoscopic surgery (SILS) has been performed for right-side colon cancer, it cannot always be completed by only umbilical incisional ports. One suprapubic assist port in SILS for right-side colon cancer is useful for such cases.


METHODS
Seventeen patients underwent SILS for right-side colon cancer between September 2009 and August 2010. Six patients (35%) who could not complete the procedure with only umbilical incisional ports for right-side colon cancer were evaluated.


RESULTS
All six patients could not be operated on with only the umbilical incisional ports because the root of the ileocolic artery and vein could not be dissected because of obesity or difficulty with controlling the intestine. However, they could undergo laparoscopic surgery when only one suprapubic assist port was inserted. The mean operation time was 192.2 minutes (range 128-230), the mean intraoperative blood loss was 26.7mL (range 0-90) and the mean postoperative hospital stay was 9.2 days (range 9-10). Postoperatively, none of the six patients had any complications.


CONCLUSIONS
One suprapubic assist port in SILS for right-side colon cancer seems to be useful for patients who cannot be operated on with only umbilical incisional ports.
Department of Surgery, Jikei University School of Medicine, Chiba, Japan. kawahide@jikei.ac.jp
Hidejiro
H
Kawahara
Kazuhiro
K
Watanabe
Takuro
T
Ushigome
Satoru
S
Yanagisawa
Susumu
S
Kobayashi
Katsuhiko
K
Yanaga
D000368:Aged; D000369:Aged, 80 and over; D003110:Colonic Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D014472:Umbilicus / Q000601:surgery*