title: A case-matched comparison of single-incision versus multiport laparoscopic right colectomy for colon cancer.
abstract: OBJECTIVE
  To minimize the parietal trauma associated with multiple surgical access sites, single-incision laparoscopic surgery for colectomy has been emerging with the improvements in instrumentation and surgical techniques. The purpose of this study was to compare the clinicopathological outcomes between single-incision laparoscopic right colectomy (SILC) and multiport laparoscopic right colectomy (MLC) for right colon cancer.
  
  
  METHODS
  Thirty-five consecutive patients undergoing SILC from a prospective single-institution database were case matched according to demographic data to an equivalent number of patients who underwent MLC.
  
  
  RESULTS
  The SILC patients had decreased scores for maximal pain assessed by a visual analog scale on postoperative days 1 and 3, and used fewer postoperative systemic narcotics. The median length of the hospital stay for the SILC patients was significantly shorter compared with the MLC patients. The postoperative morbidity rates were similar between the groups. The oncological findings were not significantly different between the groups.
  
  
  CONCLUSIONS
  SILC is a feasible and safe alternative to conventional MLC for patients with right colon cancer.
authors: Department of Surgery, Teine-Keijinkai Hospital, 1-jo 12-chome, Maeda, Teine-ku, Sapporo, Hokkaido, 006-8555, Japan. suzuki.on@ims.gr.jp.|Department of Gastroenterological Surgery, IMS Sapporo Digestive Disease Center General Hospital, 2-jo Nishi 1-chome, Hachiken, Nishi-ku, Sapporo, Hokkaido, 063-0842, Japan. suzuki.on@ims.gr.jp.
authors: On
authors: O
authors: Suzuki
authors: Department of Surgery, Teine-Keijinkai Hospital, 1-jo 12-chome, Maeda, Teine-ku, Sapporo, Hokkaido, 006-8555, Japan.
authors: Fumitaka
authors: F
authors: Nakamura
authors: Department of Surgery, Teine-Keijinkai Hospital, 1-jo 12-chome, Maeda, Teine-ku, Sapporo, Hokkaido, 006-8555, Japan.
authors: Nobuichi
authors: N
authors: Kashimura
authors: Department of Surgery, Teine-Keijinkai Hospital, 1-jo 12-chome, Maeda, Teine-ku, Sapporo, Hokkaido, 006-8555, Japan.
authors: Toru
authors: T
authors: Nakamura
authors: Department of Surgery, Teine-Keijinkai Hospital, 1-jo 12-chome, Maeda, Teine-ku, Sapporo, Hokkaido, 006-8555, Japan.
authors: Minoru
authors: M
authors: Takada
authors: Department of Surgery, Teine-Keijinkai Hospital, 1-jo 12-chome, Maeda, Teine-ku, Sapporo, Hokkaido, 006-8555, Japan.
authors: Yoshiyasu
authors: Y
authors: Ambo
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003082:Colectomy / Q000295:instrumentation / Q000379:methods*; D003110:Colonic Neoplasms / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000517:prevention & control; D012449:Safety; D016896:Treatment Outcome
keywords: Colon cancer; Laparoscopy; Right colectomy; Single incision