Single-incision laparoscopic surgery for stage IV colon cancer.
OBJECTIVE
: The safety and efficacy of single-incision laparoscopic resections for patients with stage IV colorectal cancer have not been examined explicitly. This article describes our experience with single-incision laparoscopic procedures for patients with stage IV colorectal cancer.


METHODS
Seventy-seven patients who underwent single-incision laparoscopic colectomy between August 2010 and January 2012 were investigated retrospectively. Eleven patients were in clinical stage IV (ST4 group) and were compared with 66 patients in clinical stages 0 to III (control group).


RESULTS
There were no differences in the intraoperative and the postoperative complications, the 30-day mortality rate, the number of the lymph nodes harvested, and the duration of postoperative hospital stay between the 2 groups.


CONCLUSIONS
Our initial experiences suggested that single-incision laparoscopic colectomy is feasible for stage IV colon cancer patients. This is a good start comparing the outcomes of single-incision colectomy in stage IV patients with open and traditional laparoscopic colectomy.
Department of Surgery, Fukui Prefectural Hospital, Fukui, Japan.
Yasumitsu
Y
Hirano
Masakazu
M
Hattori
Kenji
K
Douden
Yasuo
Y
Hashizume
D000368:Aged; D000369:Aged, 80 and over; D002430:Cecal Neoplasms / Q000473:pathology* / Q000601:surgery*; D003082:Colectomy; D003110:Colonic Neoplasms / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D012189:Retrospective Studies; D016896:Treatment Outcome