Hirano Yasumitsu, Hattori Masakazu, Douden Kenji, Hashizume Yasuo
Department of Surgery, Fukui Prefectural Hospital, Fukui, Japan.
Surg Laparosc Endosc Percutan Tech. 2014 Feb;24(1):e35-7. doi: 10.1097/SLE.0b013e31828fa56b.
: The safety and efficacy of single-incision laparoscopic resections for patients with stage IV colorectal cancer have not been examined explicitly. This article describes our experience with single-incision laparoscopic procedures for patients with stage IV colorectal cancer.
Seventy-seven patients who underwent single-incision laparoscopic colectomy between August 2010 and January 2012 were investigated retrospectively. Eleven patients were in clinical stage IV (ST4 group) and were compared with 66 patients in clinical stages 0 to III (control group).
There were no differences in the intraoperative and the postoperative complications, the 30-day mortality rate, the number of the lymph nodes harvested, and the duration of postoperative hospital stay between the 2 groups.
Our initial experiences suggested that single-incision laparoscopic colectomy is feasible for stage IV colon cancer patients. This is a good start comparing the outcomes of single-incision colectomy in stage IV patients with open and traditional laparoscopic colectomy.
IV期结直肠癌患者单切口腹腔镜切除术的安全性和有效性尚未得到明确研究。本文介绍了我们对IV期结直肠癌患者进行单切口腹腔镜手术的经验。
回顾性研究2010年8月至2012年1月间接受单切口腹腔镜结肠切除术的77例患者。11例为临床IV期患者（ST4组），与66例临床0至III期患者（对照组）进行比较。
两组在术中及术后并发症、30天死亡率、淋巴结清扫数量及术后住院时间方面均无差异。
我们的初步经验表明，单切口腹腔镜结肠切除术对IV期结肠癌患者是可行的。这是将IV期患者单切口结肠切除术的结果与开放和传统腹腔镜结肠切除术进行比较的一个良好开端。
