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Initial Experience of Single-port Laparoscopic Multivisceral Resection for Locally Advanced Colon Cancer

Tei, Mitsuyoshi, MD, PhD; Otsuka, Masahisa, MD, PhD; Suzuki, Yozo, MD, PhD; Akamatsu, Hiroki, MD, PhD

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques: April 2018 - Volume 28 - Issue 2 - p 108–112
doi: 10.1097/SLE.0000000000000508
Original Articles
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Aim: The aim of this study was to evaluate the safety and feasibility of single-port laparoscopic multivisceral resection (SLMVR) for locally advanced colon cancer invading or adhering to neighboring organs.

Method: A prospectively collected database was collated of all patients undergoing SLMVR from January 2011 to December 2014. Short-term and long-term oncologic outcomes were evaluated.

Results: Thirty consecutive patients who underwent SLMVR were identified and the completion rate was 90%. The R0 resection rate of the primary tumor was 100%. The postoperative complication rate was 23.3%. The 3-year relapse-free survival rates of patients with stage II (n=11) and stage III (n=12) disease were 80.8% and 54.6%, respectively. The 5-year overall survival rates of patients with stage II and stage III disease were 75.8% and 75.0% over a median follow-up of 42 months, respectively.

Conclusions: SLMVR for locally advanced colon cancer is safe and feasible in selected patients.

Department of Surgery, Osaka Police Hospital, Tennoji-ku, Osaka City, Osaka, Japan

The authors declare no conflicts of interest.

Reprints: Mitsuyoshi Tei, MD, PhD, Department of Surgery, Osaka Police Hospital, 10-31, Kitayama-cho, Tennoji-ku, Osaka City, Osaka 543-0035, Japan (e-mail: mtei@live.jp).

Received September 20, 2017

Accepted October 30, 2017

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