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Article

Systematic review of single‑port vs. multi‑port surgery for rectal cancer

  • Authors:
    • Mitsuyoshi Tei
    • Toshinori Sueda
    • Tae Matsumura
    • Haruna Furukawa
    • Chikato Koga
    • Masaki Wakasugi
    • Hiromichi Miyagaki
    • Ryohei Kawabata
    • Masanori Tsujie
    • Junichi Hasegawa
  • View Affiliations / Copyright

    Affiliations: Department of Surgery, Osaka Rosai Hospital, Kita‑ku, Sakai, Osaka 591‑8025, Japan
  • Article Number: 24
    |
    Published online on: December 4, 2020
       https://doi.org/10.3892/mco.2020.2186
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Abstract

The aim of the current systematic review was to compare the short‑term clinical and oncological outcomes of single‑port surgery (SPS) to multi‑port surgery (MPS) for rectal cancer in MEDLINE, PubMed and Cochrane Library from January 2010 to December 2018. A total of 5 clinical controlled studies composed one randomized pilot study and four non‑randomized studies with a total of 461 patients were analyzed after a systematic review. A total of 125 patients (27.1%) underwent SPS and 336 patients (72.9%) underwent MPS for rectal cancer. The rate of conversion to open surgery was lower in the SPS group compared with the MPS group (0.8 vs. 5.4%, respectively). A total of 16.8% of patients in the SPS group required an additional port to complete the operation. The morbidity rate was lower in the SPS group compared with the MPS group (28.0 vs. 39.0%, respectively). The other short‑term clinical outcomes were similar in both groups. The R0 resection rate was 99.0% in the SPS group and 98.7% in the MPS group. The oncological clearance was satisfactory and similar in both groups. The current study concluded that SPS can be performed safely and provide satisfactory oncological outcomes in patients with rectal cancer. However, further studies are required to determine the role of SPS in the long‑term clinical and oncological outcomes.
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Copy and paste a formatted citation
Spandidos Publications style
Tei M, Sueda T, Matsumura T, Furukawa H, Koga C, Wakasugi M, Miyagaki H, Kawabata R, Tsujie M, Hasegawa J, Hasegawa J, et al: Systematic review of single‑port vs. multi‑port surgery for rectal cancer. Mol Clin Oncol 14: 24, 2021.
APA
Tei, M., Sueda, T., Matsumura, T., Furukawa, H., Koga, C., Wakasugi, M. ... Hasegawa, J. (2021). Systematic review of single‑port vs. multi‑port surgery for rectal cancer. Molecular and Clinical Oncology, 14, 24. https://doi.org/10.3892/mco.2020.2186
MLA
Tei, M., Sueda, T., Matsumura, T., Furukawa, H., Koga, C., Wakasugi, M., Miyagaki, H., Kawabata, R., Tsujie, M., Hasegawa, J."Systematic review of single‑port vs. multi‑port surgery for rectal cancer". Molecular and Clinical Oncology 14.2 (2021): 24.
Chicago
Tei, M., Sueda, T., Matsumura, T., Furukawa, H., Koga, C., Wakasugi, M., Miyagaki, H., Kawabata, R., Tsujie, M., Hasegawa, J."Systematic review of single‑port vs. multi‑port surgery for rectal cancer". Molecular and Clinical Oncology 14, no. 2 (2021): 24. https://doi.org/10.3892/mco.2020.2186
Copy and paste a formatted citation
x
Spandidos Publications style
Tei M, Sueda T, Matsumura T, Furukawa H, Koga C, Wakasugi M, Miyagaki H, Kawabata R, Tsujie M, Hasegawa J, Hasegawa J, et al: Systematic review of single‑port vs. multi‑port surgery for rectal cancer. Mol Clin Oncol 14: 24, 2021.
APA
Tei, M., Sueda, T., Matsumura, T., Furukawa, H., Koga, C., Wakasugi, M. ... Hasegawa, J. (2021). Systematic review of single‑port vs. multi‑port surgery for rectal cancer. Molecular and Clinical Oncology, 14, 24. https://doi.org/10.3892/mco.2020.2186
MLA
Tei, M., Sueda, T., Matsumura, T., Furukawa, H., Koga, C., Wakasugi, M., Miyagaki, H., Kawabata, R., Tsujie, M., Hasegawa, J."Systematic review of single‑port vs. multi‑port surgery for rectal cancer". Molecular and Clinical Oncology 14.2 (2021): 24.
Chicago
Tei, M., Sueda, T., Matsumura, T., Furukawa, H., Koga, C., Wakasugi, M., Miyagaki, H., Kawabata, R., Tsujie, M., Hasegawa, J."Systematic review of single‑port vs. multi‑port surgery for rectal cancer". Molecular and Clinical Oncology 14, no. 2 (2021): 24. https://doi.org/10.3892/mco.2020.2186
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