A comparative analysis of different reduced-port laparoscopic surgical procedures after non-curative endoscopic resection for early colorectal cancer

Dandan Song; Chongjie Huang; Chen Yang; Yating Shen; Changbao Liu; Zhonglin Wang; Limiao Lin

doi:10.5114/wiitm.2024.134750

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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General surgery

abstract:

Original paper

A comparative analysis of different reduced-port laparoscopic surgical procedures after non-curative endoscopic resection for early colorectal cancer

Dandan Song

¹

,

Chongjie Huang

¹

,

Chen Yang

¹

,

Yating Shen

¹

,

Changbao Liu

¹

,

Zhonglin Wang

¹

,

Limiao Lin

²

Department of Colorectal Surgery, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wezhou, China
Department of Gastroenterology, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wezhou, China

Videosurgery Miniinv 2024; 19 (1): 32–41

DOI: https://doi.org/10.5114/wiitm.2024.134750

Online publish date: 2024/01/29

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AMA

Song D, Huang C, Yang C, et al. A comparative analysis of different reduced-port laparoscopic surgical procedures after non-curative endoscopic resection for early colorectal cancer. Videosurgery and Other Miniinvasive Techniques. 2024:32-41. doi:10.5114/wiitm.2024.134750.

APA

Song, D., Huang, C., Yang, C., Shen, Y., Liu, C.,  & Wang, Z. et al. (2024). A comparative analysis of different reduced-port laparoscopic surgical procedures after non-curative endoscopic resection for early colorectal cancer. Videosurgery and Other Miniinvasive Techniques, 32-41. https://doi.org/10.5114/wiitm.2024.134750

Chicago

Song, Dandan, Chongjie Huang, Chen Yang, Yating Shen, Changbao Liu, Zhonglin Wang,  and Limiao Lin. 2024. "A comparative analysis of different reduced-port laparoscopic surgical procedures after non-curative endoscopic resection for early colorectal cancer". Videosurgery and Other Miniinvasive Techniques: 32-41. doi:10.5114/wiitm.2024.134750.

Harvard

Song, D., Huang, C., Yang, C., Shen, Y., Liu, C., Wang, Z.,  and Lin, L. (2024). A comparative analysis of different reduced-port laparoscopic surgical procedures after non-curative endoscopic resection for early colorectal cancer. Videosurgery and Other Miniinvasive Techniques, pp.32-41. https://doi.org/10.5114/wiitm.2024.134750

MLA

Song, Dandan et al. "A comparative analysis of different reduced-port laparoscopic surgical procedures after non-curative endoscopic resection for early colorectal cancer." Videosurgery and Other Miniinvasive Techniques, 2024, pp. 32-41. doi:10.5114/wiitm.2024.134750.

Vancouver

Song D, Huang C, Yang C, Shen Y, Liu C, Wang Z et al. A comparative analysis of different reduced-port laparoscopic surgical procedures after non-curative endoscopic resection for early colorectal cancer. Videosurgery and Other Miniinvasive Techniques. 2024:32-41. doi:10.5114/wiitm.2024.134750.

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Introduction
Surgery serves as a salvage procedure for non-curative resection of early-stage colorectal cancer under endoscopy. A standard method for performing additional surgery after endoscopic submucosal dissection (ESD) for early colorectal cancer has yet to be established.

Aim
To enhance the understanding of different surgical outcomes by discussing additional treatment strategies following non-complete curative endoscopic resection of early colorectal cancer.

Material and methods
This retrospective study included 88 patients who were divided into three groups based on the surgical approach: conventional laparoscopic surgery (CLS), single-incision plus one-port laparoscopic surgery (SILS+1), and three-port laparoscopic surgery combined with natural orifice specimen extraction surgery (three-port NOSES). The study aimed to compare the surgical outcomes, safety, and postoperative recovery among these groups.

Results
The SILS+1 and three-port NOSES groups demonstrated comparable safety and efficacy to the CLS group in terms of blood loss, complications, number of lymph node dissections, and length of bowel resection. However, the SILS+1 and three-port NOSES groups had advantages in terms of incision length (7.11 ±0.38, 4.24 ±0.33, 3.16 ±0.22, p < 0.001), postoperative pain (4.000 [3.0,5.0], 3.500 [3.0,4.0], 3.000 [3.0,4.0]; p = 0.003), cosmetic result (4.000 [3.8,5.0], 7.000 [7.0,8.0], 7.000 [7.0,8.0]; p < 0.001), and hospital stay (8.000 [7.0,9.0], 7.000 [6.3,8.0.], 7.000 [6.3,8.0]; p = 0.035).

Conclusions
Different strategies of reduced-port laparoscopic surgery have been demonstrated to be effective and safe in additional surgery after non-curative ESD. These techniques have shown reduced pain and increased satisfaction among patients. Reduced-port laparoscopic surgery is expected to become the preferred treatment option for these patients.

keywords:

A comparative analysis of different reduced-port laparoscopic surgical procedures after non-curative endoscopic resection for early colorectal cancer

Dandan Song 1 , Chongjie Huang 1 , Chen Yang 1 , Yating Shen 1 , Changbao Liu 1 , Zhonglin Wang 1 , Limiao Lin 2

endoscopic submucosal dissection, early cancer, colorectum, additional surgery, reduced-port laparoscopic surgery

Dandan Song

¹

,

Chongjie Huang

¹

,

Chen Yang

¹

,

Yating Shen

¹

,

Changbao Liu

¹

,

Zhonglin Wang

¹

,

Limiao Lin

²