지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 소화기인터벤션의학회 International Journal of Gastrointestinal Intervention International Journal of Gastrointestinal Intervention 제8권 제1호
- 발행연도
- 2019.1
- 수록면
- 35 - 40 (6page)
이용수
초록· 키워드
오류제보하기
Background: Single-incision laparoscopic right colectomy (SILRC) has been reported in 2008, and since that time an increased number of reports ap-peared in literature. Currently, it remains popular between the centers with achieved experience. Adoption of suprapubic access, instead of umbilical or other access-sites, allows to enhance the final cosmetic outcomes, together with the realization of complete mesocolic excision (CME) and intra-corporeal anastomosis (ICA).Methods: Between January 2016 and August 2018, 20 patients (10 females, 10 males) were submitted to suprapubic single-incision laparoscopic right colectomy (SSILRC) for adenocarcinoma. Mean age was 74 years and mean body mass index was 24 kg/m2. Sixteen patients have already been submitted to open abdominal surgery.Results: Mean total operative time was 233.9 minutes and mean laparoscopic time was 199.4 minutes. Mean time for ICA was 34 minutes. Mean blood loss was 279.5 mL. One additional 5-mm trocar was necessary in 1 patient (5.0%). Mean length scar was 60.5 cm. Mean hospital stay was 7.8 days. A minimal use of pain killers was registered postoperatively. Mean number of lymph nodes retrieved was 24.5. Early complications were one suprapubic abscess and one suprapubic hematoma. No late complications, including suprapubic incisional hernia, were achieved. Conclusion: Since the specimen has to be removed from the abdomen after conventional laparoscopic right colectomy, the suprapubic access can be an option. SSILRC allows to join the surgical procedure, the specimen’s removal and the enhanced cosmetic results through the same access. Other advantages are the CME, the ICA, the reduced postoperative pain, and the decreased incisional hernia’s rate.
목차
등록된 정보가 없습니다.
참고문헌 (12)
참고문헌 신청
Cooperman AM / 1991 / Laparoscopic colon resection : a case report / J Laparoendosc Surg 1:221~224
Jacobs M / 1991 / Minimally invasive colon resection(laparoscopic colectomy) / Surg Laparosc Endosc 1:144~150
Bucher P / 2008 / Single port access laparoscopic right hemicolectomy / Int J Colorectal Dis 23:1013~1016
Toshiyuki M / 2014 / Reduced port laparoscopic surgery / Springer
Dapri G / 2014 / Suprapubic single-incision laparoscopic left hemicolectomy : an alternative non-visible scar / Ann Surg Oncol 21:841~842
Jacobs M / 1991 / Minimally invasive colon resection(laparoscopic colectomy) / Surg Laparosc Endosc 1:144~150
Bucher P / 2008 / Single port access laparoscopic right hemicolectomy / Int J Colorectal Dis 23:1013~1016
Toshiyuki M / 2014 / Reduced port laparoscopic surgery / Springer
Dapri G / 2014 / Suprapubic single-incision laparoscopic left hemicolectomy : an alternative non-visible scar / Ann Surg Oncol 21:841~842
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