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.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3615606 | PMC |
| http://dx.doi.org/10.1155/2013/687134 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A new technique of primary retroperitoneal approach for minimally invasive surgical treatment of cecal colon cancer with d3 lymph node dissection.
Tech Coloproctol
October 2024
Department of Faculty Surgery, No. 2, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Article Synopsis
- * A single-port system was utilized for dissection around key anatomical landmarks, including Toldt’s and Gerota’s fascia, which facilitated access to the ileocolic vessels and lymph nodes while minimizing complications associated with past surgical adhesions.
- * The operation lasted 240 minutes with minimal blood loss and low postoperative pain, indicating that this approach is safe and effective, allowing for successful treatment of cecal colon cancer and ensuring a manageable recovery time of 7 days
The vaginal route for minimally invasive surgery: a practical guide for general surgeons.
Minim Invasive Ther Allied Technol
June 2024
IRCAD, Research Institute Against Digestive Cancer, Strasbourg, France.
Introduction: Vaginal approaches have become routine in the field of gynecologic surgery, whereas in general surgery vaginal wall transection is an infrequent practice typically reserved for extensive tumor resections. Approximately two decades ago, natural orifice transluminal endoscopic surgery (NOTES) revolutionized conventional boundaries by accessing the peritoneal cavity transorally, transrectally, or transvaginally, enabling general surgery without visible scars. Although transvaginal approaches have been successfully used for various abdominal procedures by general surgeons, a gap remains in comprehensive training to fully exploit the potential of this route.
View Article and Find Full Text PDFA Single-Port, Multiple-Access, Custom-Made Device Used in Laparoscopically Assisted Cryptorchidectomy in Standing Horses-A Preliminary Study.
Animals (Basel)
April 2024
Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil.
This study evaluates a new multiport device with single access to the abdominal cavity produced with routine hospital supplies that could be applied to laparoscopically assisted cryptorchidectomy in standing horses. Initially, the new device was evaluated on five cadavers of bovine fetuses ( = 5), placed assisted in a minilaparotomy performed in the flank region. Subsequently, the device was evaluated in four cryptorchid horses treated during the hospital routine.
View Article and Find Full Text PDFPelvic and inguinal single-site approach: PISA technique. New minimally invasive technique for lymph node dissection in penile cancer.
Actas Urol Esp (Engl Ed)
April 2022
Servicio de Urología, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Objectives: To describe our initial experience with a new minimally invasive inguinal and pelvic single-access laparoscopic approach, for performing lymph node dissection (LND) in penile cancer: the Pelvic and Inguinal Single Access (PISA) technique.
Material And Methods: 10 patients with different penile squamous cell carcinoma stages (cN0 and ≥pT1G3 or cN1/cN2) were operated by means of the PISA technique, between 2015-2018. Intraoperative frozen section analysis was carried out routinely and if ≥2 inguinal nodes (pN2) or extracapsular nodal extension (pN3) are detected, ipsilateral pelvic LND was performed sequentially as a single-stage procedure and using the same surgical incisions.
Comparison of a single-access glove port with a SILS™ port in a surgical simulator model using MISTELS.
BMC Vet Res
August 2021
Department of Small Animal Surgery, Ophthalmology, Dentistry and Physiotherapy, University of Veterinary Medicine Vienna, Veterinärplatz 1, 1210, Vienna, Austria.
Article Synopsis
- * Participants who used the glove port scored significantly higher in task performance and found it easier to use than the SILS™ port.
- * Results suggest that the glove port offers better manoeuvrability and could serve as a cost-effective option for single-port laparoscopic procedures in veterinary medicine.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!