Abstract
Recent studies show the increase of Single Port Surgery (SPS) for colectomy with lymph node dissection. We have performed 18 SPS cases including 9 colon cancer cases. Most of them were early sigmoid or transverse colon cancer though we have some advanced cancer cases, which were applied to minimal invasive surgery with D2 level lymph node dissection. Mean operative time was 140 minutes and mean blood loss was 23.2ml. There has been no postoperative complication and we found high patients’ satisfaction level. Especially in advanced cancer case, however, skin incision was required to be longer tham 3cm to remove specimen, that is, the skin incision cannot be always invisible. So, we decided not to persist in SPS and introduced a new method, SPS+1, in which we added one 5mm port. Electronic devices inserted from the 5mm port make better manipulation, less stress and higher safety. Furthermore, scar of 5mm port will be almost invisible so that cosmetic results can be equal to SPS. Though SPS has been increasingly applied in wider range, careful patient selection is required.
