INTESTINE Vol.21 No.3(7)

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
Publish Date 2017/05
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.
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