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Case Reports
. 2010 Jan 14;16(2):275-8.
doi: 10.3748/wjg.v16.i2.275.

Single port laparoscopic right hemicolectomy with D3 dissection for advanced colon cancer

Sung Il Choi  1 , Kil Yeon Lee, Sun Jin Park, Suk-Hwan Lee
Affiliations
Case Reports

Single port laparoscopic right hemicolectomy with D3 dissection for advanced colon cancer

Sung Il Choi et al. World J Gastroenterol. .

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 x 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.

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Figures

Figure 1
Figure 1
Encircling mass in the ascending colon visualized during colonoscopy.
Figure 2
Figure 2
Abdominal CT showed enhanced wall thickening in the ascending colon.
Figure 3
Figure 3
Operative photograph of the single port setting with multiple trocars and instruments.
Figure 4
Figure 4
Single port laparoscopic right hemicolectomy with D3 node dissection around the superior mesenteric vein (A) and artery (B).
Figure 5
Figure 5
Surgical wound around the umbilicus (A) and surgical specimen of the resected colon (B and C).
See this image and copyright information in PMC

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