Single incision laparoscopic surgery for multiple colorectal cancers.
BACKGROUND
The aim of this study was to evaluate short-term outcomes of single-incision surgery with two segmental colorectal resections and anastomoses for multiple synchronous colorectal cancers.


METHODS
Ten patients with multiple colorectal cancers underwent two synchronous segmental colorectal resections and anastomoses. The methodology of the procedures, operative results, and postoperative outcomes were evaluated.


RESULTS
The median operative time was 270 min (range, 146-427 min), and the median blood loss was 70 mL (range, 10-260 mL). No conversions to open surgery or intraoperative complications occurred. Four cases needed additional ports, and one case required a diverting stoma.


CONCLUSIONS
SILS with two segmental colorectal resections and anastomoses was safely performed in all cases without severe postoperative complications. This procedure seems to be a feasible option for resecting multiple synchronous colorectal cancers.
Department of Surgery, Fukui Prefectural Hospital, Fukui, Japan.
Yasuhiro
Y
Ishiyama
Department of Surgery, Fukui Prefectural Hospital, Fukui, Japan.
Yasumitsu
Y
Hirano
Department of Surgery, Fukui Prefectural Hospital, Fukui, Japan.
Masakazu
M
Hattori
Department of Surgery, Fukui Prefectural Hospital, Fukui, Japan.
Kenji
K
Douden
Department of Surgery, Fukui Prefectural Hospital, Fukui, Japan.
Yasuo
Y
Hashizume
D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D003082:Colectomy / Q000379:methods*; D015179:Colorectal Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay / Q000706:statistics & numerical data; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000601:surgery*; D061646:Operative Time; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome
Laparoscopic colectomy; multiple colorectal cancers; single-incision laparoscopic surgery (SILS)