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World J Gastroenterol. Jan 14, 2010; 16(2): 275-278
Published online Jan 14, 2010. doi: 10.3748/wjg.v16.i2.275
Published online Jan 14, 2010. doi: 10.3748/wjg.v16.i2.275
Single port laparoscopic right hemicolectomy with D3 dissection for advanced colon cancer
Sung Il Choi, Kil Yeon Lee, Sun Jin Park, Suk-Hwan Lee, Department of Surgery, School of Medicine, Kyung Hee University, #1 Hoegi-dong Dongdaemun-gu, Seoul 130-702, South Korea
Author contributions: Choi SI and Lee KY contributed equally to this work; Lee KY and Lee SH designed research; Park SJ performed research; Choi SI wrote the paper.
Correspondence to: Kil Yeon Lee, MD, Department of Surgery, School of Medicine, Kyung Hee University, #1 Hoegi-dong Dongdaemun-gu, Seoul 130-702, South Korea. isaac34@korea.com
Telephone: +82-2-9588261 Fax: +82-2-9588277
Received: October 6, 2009
Revised: November 30, 2009
Accepted: December 7, 2009
Published online: January 14, 2010
Revised: November 30, 2009
Accepted: December 7, 2009
Published online: January 14, 2010
Abstract
We report the first case of single port laparoscopic right hemicolectomy for advanced colon cancer. An abdominal 3 cm length incision was made via the umbilicus. A small wound retractor and a surgical glove were used as a single port. All soft tissue anterior to the superior mesenteric vein was completely removed and D3 lymph node dissection was achieved. The total operative time was 180 min with minimal blood loss (< 50 mL). The size of the tumor was 5 cm × 3 cm and its tumor stage was T3N0. Sixty-nine lymph nodes were harvested and none were positive. We believe that single port surgery for colon cancer is a feasible and safe procedure with surgical results comparable to conventional laparoscopic procedures.