title: Single incision laparoscopic right hemicolectomy: different approaches.
abstract: BACKGROUND
  Single incision laparoscopic colectomy has been performed in recent years, and has been shown to be feasible and safe. This study was to assess the feasibility of single incision laparoscopic right hemicolectomy and to compare the differences in different approaches.
  
  
  METHODS
  This retrospective study included eighteen patients with carcinoma of caecum and ascending colon, undergoing single incision laparoscopic right hemicolectomy. This study also compared single incision laparoscopic right hemicolectomy using different approaches: (1) single incision multiport, (2) single access port and (3) glove port.
  
  
  RESULTS
  There was no statistical difference in surgical outcomes. Concerning the surgeon's satisfaction toward three methods, overcrowding and durability were similar but the single incision multiport was associated with the highest gas-leak and the "glove" port was associated with poor durability. However, the method of single incision multiport has the lowest average cost of the special trocar or port in each operation. The operative time and blood loss of the operations in this study were comparable to previous publications.
  
  
  CONCLUSIONS
  There was no significant difference between different approaches of single incision laparoscopic right hemicolectomy for colonic cancer in right side colon.
authors: Department of Surgery, Kwong Wah Hospital, Hong Kong, China. mandywtm@gmail.com
authors: Tak-Man
authors: TM
authors: Wong
authors: Weida
authors: W
authors: Day
authors: Shu-Yan
authors: SY
authors: Kwok
authors: Ying-Yu Patrick
authors: YY
authors: Lau
authors: Wai-Chun Andrew
authors: WC
authors: Yip
mesh_terms: D000368:Aged; D002430:Cecal Neoplasms / Q000601:surgery*; D003082:Colectomy / Q000379:methods*; D003110:Colonic Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies