Warning: fopen(/home/virtual/colon/journal/upload/ip_log/ip_log_2025-07.txt): failed to open stream: Permission denied in /home/virtual/lib/view_data.php on line 95 Warning: fwrite() expects parameter 1 to be resource, boolean given in /home/virtual/lib/view_data.php on line 96 Reduced Port Laparoscopic Surgery for Rectal Cancer
Skip Navigation
Skip to contents

Ann Coloproctol : Annals of Coloproctology

OPEN ACCESS
SEARCH
Search
Advanced Search
mobile menu button

Articles

Page Path
HOME > Ann Coloproctol > Volume 31(1); 2015 > Article
Editorial
 Reduced Port Laparoscopic Surgery for Rectal Cancer
Byung Chun Kim
Annals of Coloproctology 2015;31(1):3-4.
DOI: https://doi.org/10.3393/ac.2015.31.1.3
Published online: February 28, 2015

Department of Surgery, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.

Correspondence to: Byung Chun Kim, M.D. Department of Surgery, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, 1 Singil-ro, Yeongdeungpo-gu, Seoul 150-950, Korea. Tel: +82-2-829-5130, Fax: +82-2-849-4469, bckimgs@hallym.or.kr

© 2015 The Korean Society of Coloproctology

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

prev next
  • 3,445 Views
  • 30 Download
  • 4 Web of Science
  • 3 Crossref
  • 2 Scopus
Full Article

Download PDF Download PDF

See Article on Page [Related article:] 16-22
Due to the significant improvement in minimal invasive surgery, a large group of surgeons has focused on cosmetic results and minimization of the number and the size of the ports. In addition, a single-incision laparoscopic colectomy was recently introduced to reduce patient's trauma related with conventional multiport approaches. In a single-incision laparoscopic colectomy, all trocars are inserted through one umbilical incision. However, published studies are limited, for the most part, to the right colon [1] and the sigmoid colon [2], and single-incision laparoscopic surgery in the field of rectal surgery is very rare [3] because of the difficulties in many cases in securing the surgeon's operative field [4]. One study reported that the rectum was vertically lifted by using a suspension bar to obtain the operative field [4]. Transecting the lower rectum via an umbilical port and securing a sufficient distal margin is very challenging because of the technical limitation that the tip of the laparoscopic stapler can be bent only 45 degrees. Numerous studies of single-incision laparoscopic rectal surgery in which multiple staplers were used for making an incision have reported that the chance of anastomotic leakage was decreased when the number of linear stapler used in lower rectum transection was reduced [5, 6]. Pelvic drainage after rectal surgery is required for the early detection of anastomotic leakage and to avoid reoperation. A single incision site after the rectal incision can be used as an incision for drainage in reduced port laparoscopic rectal surgery.
In this study, the authors performed reduced port laparoscopic surgery on 20 colorectal cancer patients by using an umbilical port and an additional port in the right lower quadrant. The operation time (231 minutes), blood loss (100 mL), number of staplers, days to first soft diet, length of hospital stay, number of lymph nodes harvested, circumferential resection margin involvement, complications, and the rates of local recurrence and distant metastasis were comparable to those reported in other studies. However, the authors stated that further studies were needed to confirm the benefits of the procedure [7].
A reduced port procedure allows surgeons to secure a distal resection margin and is an easier surgical procedure for treating patients with low rectal cancer than procedures using only an umbilical port. Furthermore, that the incision can be utilized for pelvic drainage for a safer operation is worth mentioning. For the validation of the advantages of such procedures, further multicenter and comparative studies are demanded.

No potential conflict of interest relevant to this article was reported.

  • 1. Choi SI, Lee KY, Park SJ, Lee SH. Single port laparoscopic right hemicolectomy with D3 dissection for advanced colon cancer. World J Gastroenterol 2010;16:275–278. ArticlePubMedPMC
  • 2. Takemasa I, Sekimoto M, Ikeda M, Mizushima T, Yamamoto H, Doki Y, et al. Video. Transumbilical single-incision laparoscopic surgery for sigmoid colon cancer. Surg Endosc 2010;24:2321.ArticlePubMed
  • 3. Bulut O, Nielsen CB. Single-incision laparoscopic low anterior resection for rectal cancer. Int J Colorectal Dis 2010;25:1261–1263. ArticlePubMed
  • 4. Uematsu D, Akiyama G, Narita M, Magishi A. Single-access laparoscopic low anterior resection with vertical suspension of the rectum. Dis Colon Rectum 2011;54:632–637. ArticlePubMed
  • 5. Hamzaoglu I, Karahasanoglu T, Baca B, Karatas A, Aytac E, Kahya AS. Single-port laparoscopic sphincter-saving mesorectal excision for rectal cancer: report of the first 4 human cases. Arch Surg 2011;146:75–81. ArticlePubMed
  • 6. Kim JS, Cho SY, Min BS, Kim NK. Risk factors for anastomotic leakage after laparoscopic intracorporeal colorectal anastomosis with a double stapling technique. J Am Coll Surg 2009;209:694–701. ArticlePubMed
  • 7. Bae SU, Baek SJ, Min BS, Baik SH, Kim NK, Hur H. Reduced-port laparoscopic surgery for a tumor-specific mesorectal excision in patients with colorectal cancer: initial experience with 20 consecutive cases. Ann Coloproctol 2015;31:16–22.ArticlePubMedPMC

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • Laparoendoscopic single-site nephrectomy for hemodialysis patients with dialysis-related renal tumors
      Kohei Takei, Mutsushi Yamasaki, Satoki Abe, Naoyuki Yamanaka, Shinya Sejiyama, Takahiro Narimatsu, Shinro Hata, Tadamasa Shibuya, Kenichi Hirai, Tadasuke Ando, Toshitaka Shin, Kenichi Mori, Yasuhiro Sumino, Takeo Nomura, Fuminori Sato, Toshiro Terachi, Hi
      Minimally Invasive Therapy & Allied Technologies.2018; 27(3): 153.     CrossRef
    • Pfannenstiel laparoendoscopic reduced‐port radical nephrectomy
      Mutsushi Yamasaki, Toshitaka Shin, Ryuta Sato, Kenichi Hirai, Tomoko Kan, Hiroyuki Fujinami, Kenichi Mori, Yasuhiro Sumino, Takeo Nomura, Fuminori Sato, Hitoshi Masuda, Junji Yonese, Hiromitsu Mimata
      Asian Journal of Endoscopic Surgery.2016; 9(3): 222.     CrossRef
    • Intraumbilical versus periumbilical incision in laparoscopic cholecystectomy: A randomized controlled trial
      Jun Suh Lee, Tae Ho Hong
      International Journal of Surgery.2016; 33: 83.     CrossRef

    • Cite this Article
      Cite this Article
      export Copy Download
      Close
      Download Citation
      Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
      Format:
      • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
      • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
      Include:
      • Citation for the content below
      Reduced Port Laparoscopic Surgery for Rectal Cancer
      Ann Coloproctol. 2015;31(1):3-4.   Published online February 28, 2015
      DOI: https://doi.org/10.3393/ac.2015.31.1.3
      Close
    • XML DownloadXML Download
    Related articles
    Reduced Port Laparoscopic Surgery for Rectal Cancer
    Reduced Port Laparoscopic Surgery for Rectal Cancer
    Ann Coloproctol : Annals of Coloproctology Twitter Facebook
    © Korean Society of Coloproctology.
    TOP