[Is there a place for single laparoscopic approach in colic surgery?]

Area of Science:

• Coloproctology
• Minimally Invasive Surgery
• Surgical Oncology

Context:

• The role of single laparoscopic access (SLA) surgery in coloproctology is evolving.
• Evaluating surgical techniques for colon cancer is crucial for patient outcomes.

Purpose:

• To compare the outcomes of right-sided hemicolectomy for colon cancer using single laparoscopic access versus multiport laparoscopic-assisted techniques.
• To determine the feasibility and efficacy of SLA in coloproctology.

Summary:

• A prospective randomized study analyzed 95 patients undergoing right-sided hemicolectomy for colon cancer.
• No significant differences were observed in complications, pain, or quality of life between SLA and multiport groups.
• SLA offered better cosmetic results and reduced analgesic requirements, but surgeons found it more laborious.

Impact:

• Single laparoscopic access surgery, while cosmetically advantageous, does not demonstrate sufficient benefits to replace multiport techniques in routine colon cancer resections.
• Further research may explore specific patient populations or advanced techniques to enhance SLA's utility.