BMC Gastroenterology (Dec 2022)

Comparison of clinical outcomes of single-incision versus multi-port laparoscopic surgery for descending colon cancer: a propensity score-matched analysis

  • Mitsuyoshi Tei,
  • Yozo Suzuki,
  • Toshinori Sueda,
  • Kazuya Iwamoto,
  • Atsushi Naito,
  • Masatoshi Nomura,
  • Yukihiro Yoshikawa,
  • Masahisa Ohtsuka,
  • Mitsunobu Imasato,
  • Tsunekazu Mizushima,
  • Hiroki Akamatsu

DOI
https://doi.org/10.1186/s12876-022-02597-z
Journal volume & issue
Vol. 22, no. 1
pp. 1 – 9

Abstract

Read online

Abstract Background The clinical impact of single-incision laparoscopic surgery (SILS) for descending colon cancer (DCC) is unclear. The aim of this study was to evaluate the clinical outcomes of SILS for DCC compared with multi-port laparoscopic surgery (MPLS). Methods We retrospectively analyzed 137 consecutive patients with stage I–III DCC who underwent SILS or MPLS at two high-volume multidisciplinary tertiary hospitals between April 2008 and December 2018, using propensity score-matched analysis. Results After propensity score-matching, we enrolled 88 patients (n = 44 in each group). SILS was successful in 97.7% of the matched cohort. Compared with the MPLS group, the SILS group showed significantly less blood loss and a greater number of harvested lymph nodes. Morbidity rates were similar between groups. Recurrence pattern did not differ between groups. No significant differences were found between groups in terms of 3-year disease-free and overall survivals. Conclusion SILS appears safe and feasible and can provide satisfactory oncological outcomes for patients with DCC.

Keywords