Feasibility, Safety and efficacy of 3-mm instruments in laparoscopic right hemicolectomy for cancer: preliminary experience

Abstract INTRODUCTION Nowadays, the evolution of technology has made available instruments of very small caliber without affecting the surgical technique. Mini-laparoscopy (m-Lap) right hemicolectomy is an evolution of classic laparoscopy (c-Lap), consisting of three-port laparoscopic surgery using...

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Autores principales:	Mauro Montuori, Enrico Pinotti, Alessanda Brescacin, Gabriele Di Lucca, Riccardo Pirovano, Gianmaria Mauri, Michele Ciocca, Mauro Zago
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2021
Materias:	colorectal cancer mini-laparoscopy reduced port minimally invasive surgery right hemicolectomy Medicine R
Acceso en línea:	https://doaj.org/article/f7b056fa14d3444da0c2d06bf93139a9
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spelling	oai:doaj.org-article:f7b056fa14d3444da0c2d06bf93139a92021-11-14T06:50:55ZFeasibility, Safety and efficacy of 3-mm instruments in laparoscopic right hemicolectomy for cancer: preliminary experience2783-243010.30476/acrr.2021.93249.1119https://doaj.org/article/f7b056fa14d3444da0c2d06bf93139a92021-09-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_47881_b999117209bf58e891b99c30d06fc6c2.pdfhttps://doaj.org/toc/2783-2430Abstract INTRODUCTION Nowadays, the evolution of technology has made available instruments of very small caliber without affecting the surgical technique. Mini-laparoscopy (m-Lap) right hemicolectomy is an evolution of classic laparoscopy (c-Lap), consisting of three-port laparoscopic surgery using a 3-mm trocar. METHODS A retrospective analysis of a prospectively constructed database was performed to assess the feasibility, safety, and efficacy of 3-mm instruments. We included patients undergoing a right hemicolectomy with c-Lap or m-Lap for cancer. Patients undergoing emergency, palliative, or open surgery were excluded. Primary outcomes were the rate of anastomotic leakage (AL), surgical site infection (iSSI), organ/space infection (OSI), and disease-free and overall survival. Secondary outcomes were the length of surgery and length of stay (LOS). RESULTS Between January 2015 and December 2020, seventy-five patients met the inclusion and exclusion criteria. Among them, 20 (26,67%) underwent m-Lap and 55 (73,33%) underwent c-Lap. The two groups had homogeneous baseline characteristics. There were no differences in AL (P=0.905), iSSI or OSI (P=0.831), disease-free survival (P=0.340), overall survival (P=0.351), length of surgery (P=0.742), or length of hospital stay (P=0.053). CONCLUSION A 3-mm trocar for right hemicolectomy is feasible, safe, and effective. It does not affect the quality of surgery or the short and long-term outcomes. We hope this study will stimulate further research on less invasive surgical instruments.Mauro MontuoriEnrico PinottiAlessanda BrescacinGabriele Di LuccaRiccardo PirovanoGianmaria MauriMichele CioccaMauro ZagoShiraz University of Medical Sciencesarticlecolorectal cancermini-laparoscopyreduced portminimally invasive surgeryright hemicolectomyMedicineRENIranian Journal of Colorectal Research, Vol 9, Iss 3, Pp 109-113 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	colorectal cancer mini-laparoscopy reduced port minimally invasive surgery right hemicolectomy Medicine R
spellingShingle	colorectal cancer mini-laparoscopy reduced port minimally invasive surgery right hemicolectomy Medicine R Mauro Montuori Enrico Pinotti Alessanda Brescacin Gabriele Di Lucca Riccardo Pirovano Gianmaria Mauri Michele Ciocca Mauro Zago Feasibility, Safety and efficacy of 3-mm instruments in laparoscopic right hemicolectomy for cancer: preliminary experience
description	Abstract INTRODUCTION Nowadays, the evolution of technology has made available instruments of very small caliber without affecting the surgical technique. Mini-laparoscopy (m-Lap) right hemicolectomy is an evolution of classic laparoscopy (c-Lap), consisting of three-port laparoscopic surgery using a 3-mm trocar. METHODS A retrospective analysis of a prospectively constructed database was performed to assess the feasibility, safety, and efficacy of 3-mm instruments. We included patients undergoing a right hemicolectomy with c-Lap or m-Lap for cancer. Patients undergoing emergency, palliative, or open surgery were excluded. Primary outcomes were the rate of anastomotic leakage (AL), surgical site infection (iSSI), organ/space infection (OSI), and disease-free and overall survival. Secondary outcomes were the length of surgery and length of stay (LOS). RESULTS Between January 2015 and December 2020, seventy-five patients met the inclusion and exclusion criteria. Among them, 20 (26,67%) underwent m-Lap and 55 (73,33%) underwent c-Lap. The two groups had homogeneous baseline characteristics. There were no differences in AL (P=0.905), iSSI or OSI (P=0.831), disease-free survival (P=0.340), overall survival (P=0.351), length of surgery (P=0.742), or length of hospital stay (P=0.053). CONCLUSION A 3-mm trocar for right hemicolectomy is feasible, safe, and effective. It does not affect the quality of surgery or the short and long-term outcomes. We hope this study will stimulate further research on less invasive surgical instruments.
format	article
author	Mauro Montuori Enrico Pinotti Alessanda Brescacin Gabriele Di Lucca Riccardo Pirovano Gianmaria Mauri Michele Ciocca Mauro Zago
author_facet	Mauro Montuori Enrico Pinotti Alessanda Brescacin Gabriele Di Lucca Riccardo Pirovano Gianmaria Mauri Michele Ciocca Mauro Zago
author_sort	Mauro Montuori
title	Feasibility, Safety and efficacy of 3-mm instruments in laparoscopic right hemicolectomy for cancer: preliminary experience
title_short	Feasibility, Safety and efficacy of 3-mm instruments in laparoscopic right hemicolectomy for cancer: preliminary experience
title_full	Feasibility, Safety and efficacy of 3-mm instruments in laparoscopic right hemicolectomy for cancer: preliminary experience
title_fullStr	Feasibility, Safety and efficacy of 3-mm instruments in laparoscopic right hemicolectomy for cancer: preliminary experience
title_full_unstemmed	Feasibility, Safety and efficacy of 3-mm instruments in laparoscopic right hemicolectomy for cancer: preliminary experience
title_sort	feasibility, safety and efficacy of 3-mm instruments in laparoscopic right hemicolectomy for cancer: preliminary experience
publisher	Shiraz University of Medical Sciences
publishDate	2021
url	https://doaj.org/article/f7b056fa14d3444da0c2d06bf93139a9
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Feasibility, Safety and efficacy of 3-mm instruments in laparoscopic right hemicolectomy for cancer: preliminary experience

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