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Minim Invasive Surg. 2013;2013:687134. doi: 10.1155/2013/687134. Epub 2013 Mar 20.

Single-access laparoscopic rectal surgery is technically feasible.

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1
Colorectal Division, General Surgery Department, Rajavithi Hospital, Rangsit University, Bangkok 10400, Thailand.

Abstract

INTRODUCTION:

Single-access laparoscopic surgery (SALS) has been successfully introduced for colectomy surgery; however, for mid to low rectum procedures such as total mesorectal excision, it can be technically complicated. In this study, we introduced a single-access technique for rectum cancer operations without the use of other instruments.

AIMS:

To show the short-term results of single-access laparoscopic rectal surgery in terms of pathologic results and immediate complications.

SETTINGS AND DESIGN:

Prospective study.

MATERIALS AND METHODS:

We selected middle rectum to anal canal cancer patients to undergo single-access laparoscopic rectal resection for rectal cancer. All patients had total mesorectal excisions. An umbilical incision was made for the insertion of a single multichannel port, and a mesocolic window was created to identify the inferior mesenteric artery and vein. Total mesorectal excision was performed. There were no perioperative complications. The mean operative time was 269 minutes; the median hospital stay was 7 days; the mean wound size was 5.5 cm; the median number of harvested lymph nodes was 15; and all patients had intact mesorectal capsules.

STATISTICAL ANALYSIS USED:

Mean, minimum-maximum.

CONCLUSION:

Single-access laparoscopic surgery for rectal cancer is feasible while oncologic principles and patient safety are maintained.

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