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SINGLE PORT LAPAROSCOPIC SURGERY FOR RIGHT COLON CANCER CAUSE ANALYSIS FOR CONVERSION TO LAPAROTOMY
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Purpose: Analysis about disease, technical characteristics of 17 right colon cancer patients underwent conversion to laparotomy from single port laparoscopic surgery and propose related factors for indications. Methold: Consist of 17 colon cancer patients, who were conversion to laparotomy from single port laparoscopic colectomy at Hue Central Hospital from october 2010 to august 2014. Results: Mean age 61.3±14.2 years, rate male/female 11/6. Tumor invasion: T2 11.8%, T3 58.8%, T4 29.4%. Mean tumor size on CT 6.5±2.2cm. The causes of conversion: very big tumors 29.4%, invasive-adhesive tumors 47.1%, extended surgery 23.5%. Open procedures: right hemicolectomy 70.6%, right hemicolectomy plus cholecystectomy 5.9%, right hemicolectomy plus wedge-shape duodenectomy 11.8%, right hemicolectomy plus intestinal segmentectomy 5.9% and right hemicolectomy plus low-anterior rectal resection, hysterectomy 5.9%. Conclusion: Conversion to laparotomy from single port laparoscopic colectomy is necessary for very big tumors, excessive tumor adhesions and exceed the technical limitations of laparoscopic dissection. Key words: Single incision laparoscopic colectomy (SILC), single port laparoscopic colectomy (SILC), conversion to laparotomy.
Hue University of Medicine and Pharmacy
Title: SINGLE PORT LAPAROSCOPIC SURGERY FOR RIGHT COLON CANCER CAUSE ANALYSIS FOR CONVERSION TO LAPAROTOMY
Description:
Purpose: Analysis about disease, technical characteristics of 17 right colon cancer patients underwent conversion to laparotomy from single port laparoscopic surgery and propose related factors for indications.
Methold: Consist of 17 colon cancer patients, who were conversion to laparotomy from single port laparoscopic colectomy at Hue Central Hospital from october 2010 to august 2014.
Results: Mean age 61.
3±14.
2 years, rate male/female 11/6.
Tumor invasion: T2 11.
8%, T3 58.
8%, T4 29.
4%.
Mean tumor size on CT 6.
5±2.
2cm.
The causes of conversion: very big tumors 29.
4%, invasive-adhesive tumors 47.
1%, extended surgery 23.
5%.
Open procedures: right hemicolectomy 70.
6%, right hemicolectomy plus cholecystectomy 5.
9%, right hemicolectomy plus wedge-shape duodenectomy 11.
8%, right hemicolectomy plus intestinal segmentectomy 5.
9% and right hemicolectomy plus low-anterior rectal resection, hysterectomy 5.
9%.
Conclusion: Conversion to laparotomy from single port laparoscopic colectomy is necessary for very big tumors, excessive tumor adhesions and exceed the technical limitations of laparoscopic dissection.
Key words: Single incision laparoscopic colectomy (SILC), single port laparoscopic colectomy (SILC), conversion to laparotomy.
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