Abstract

PARODI, Matías et al. Suprapubic laparoscopic right hemicolectomy: a novel technique for the treatment of colon cancer. Rev. argent. cir. [online]. 2019, vol.111, n.3, pp.163-170. ISSN 2250-639X.

Background: The suprapubic approach for laparoscopic right hemicolectomy has been reported with robotic surgery or single incision laparoscopy. The use of the suprapubic approach for standard multiport laparoscopic right hemicolectomy has not been previously described. Material and methods: Between January and September 2018, four consecutive patients (three women and one man; median age: 64 years) with right-sided colon cancer underwent laparoscopic right hemicolectomy using the suprapubic multiport approach. Results: The procedure was successful in all the patients and mean operative time was 210 minutes (IQR: 170-240). There were no complications and were discharged on postoperative day 4 (IQR: 3-5). All the surgical specimens had negative margins and lymph node count was > 12 lymph nodes. All the patients are alive and free from disease at 7, 5, 4 and 2 months of follow-up. Conclusion: The suprapubic approach for standard multiport laparoscopic right hemicolectomy is an easy, feasible and safe alternative for the treatment of colon cancer in selected patients, with a favorable functional, esthetic and oncological result.

Keywords : Cáncer de colon; Hemicolectomía derecha laparoscópica; Abordaje suprapúbico; Colon cancer; Laparoscopic right colectomy; Suprapubic approach.

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