Theme |
New evolvement in treatment for early rectal cancer |
Title |
Single port laparoscopic surgery for early stage rectal cancer -- Single port surgery+1 port technique |
Author |
Masaki Fukunaga |
Department of Gastrointestinal Surgery, Juntendo Urayasu Hospital, Juntendo University |
Author |
Kunihiko Nagakari |
Department of Gastrointestinal Surgery, Juntendo Urayasu Hospital, Juntendo University |
Author |
Seiichirou Yoshikawa |
Department of Gastrointestinal Surgery, Juntendo Urayasu Hospital, Juntendo University |
Author |
Yoshito Iida |
Department of Gastrointestinal Surgery, Juntendo Urayasu Hospital, Juntendo University |
Author |
Masakazu Oouchi |
Department of Gastrointestinal Surgery, Juntendo Urayasu Hospital, Juntendo University |
Author |
Kanenori Hirasaki |
Department of Gastrointestinal Surgery, Juntendo Urayasu Hospital, Juntendo University |
Author |
Daisuke Azuma |
Department of Gastrointestinal Surgery, Juntendo Urayasu Hospital, Juntendo University |
Author |
Shintarou Kohama |
Department of Gastrointestinal Surgery, Juntendo Urayasu Hospital, Juntendo University |
Author |
Jun Nomoto |
Department of Gastrointestinal Surgery, Juntendo Urayasu Hospital, Juntendo University |
[ Summary ] |
Multiport laparoscopic surgery (MPS) has been widely accepted as a surgical procedure for early stage rectal cancer. Reduced port surgery such as single port laparoscopic surgery (SPS) is a technique used with the aim of minimizing incisions, invasiveness and producing better cosmesis than MPS. Safety and oncological results are the most important issue. However, SPS is technically difficult and the superiority of this procedure is yet to be proven, especially for rectal cancer. We prefer to use the SPS+1 port technique to reduce the drawbacks from higher technical skill levels and recommend this procedure be performed by experienced surgeons only and in selected patients. The SPS+1 port technique is introduced. |