Comparison between transverse mini-incision and longitudinal mini-incision for the resection of locally advanced colonic cancer.
We performed a retrospective review of non-overweight (body mass index ≤ 25 kg/m(2)) patients scheduled to undergo a curative resection of locally advanced colon cancer via a transverse mini-incision (n = 62) or a longitudinal mini-incision (skin incision ≤7 cm, n = 62), with the latter group of patients randomly selected as historical controls matched with the former group according to tumor location. Extension of the transverse mini-incision wound was necessary in 3 patients (5%). Both groups were largely equivalent in terms of demographic, clinicopathological, and surgical factors and frequency of postoperative complications. Postoperative analgesic was significantly less (P = 0.04) and postoperative length of the hospital stay was significantly shorter (P < 0.01) in the transverse mini-incision group. Concerning a mini-incision approach for locally advanced colonic cancer, a transverse incision seems to be advantageous with regard to minimal invasiveness and early recovery compared with a longitudinal incision.
Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University, Japan.
Hideyuki
H
Ishida
Jun
J
Sobajima
Masaru
M
Yokoyama
Hiroshi
H
Nakada
Norimichi
N
Okada
Kensuke
K
Kumamoto
Keiichiro
K
Ishibashi
D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003082:Colectomy; D003110:Colonic Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007813:Laparotomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011897:Random Allocation
Colectomy; Colonic cancer; Mini-laparotomy; Transverse incision