Single-Incision Laparoscopic Surgery (SILS) is an evolving alternative to conventional laparoscopic surgery. We present the case of a low anterior resection combined with left salpingo-oophorectomy performed as a SILS procedure. The patient was a 83-year-old woman, who had a T3N1 rectal cancer 10 cm from the anal verge and a 7 cm left-sided ovarian cyst. Perioperative data and oncological outcomes were comparable to those of conventional laparoscopic procedures. Use of the SILS procedure for pelvic surgery is feasible in carefully selected patients. Prospective comparative studies are needed in the future.
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