Abstract
Although single port laparoscopy for colorectal resections was initially only performed for benign disease, there is now an increasing experience for colorectal malignancy. On the other hand, as for standard multiport laparoscopic approach in rectal cancer management, single port laparoscopy for rectal procedures raises some concern about feasibility and safety of this technically demanding surgery. To date, only few studies reported the postoperative results of this minimally invasive approach and no randomized control trial including rectal procedures is available. However, the results of these studies and of those of systematic reviews suggests that single port rectal surgery may be associated with satisfactory postoperative morbidity rate and might even improve the postoperative recovery. However, to date, long-term follow-up of single port TME for rectal cancer was not reported in any study. In this chapter we will review the available literature on the topic and detail our surgical technique for single port total mesorectal excision.
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References
Clinical Outcomes of Surgical Therapy Study Group (2004) A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med 350:2050–2059
Lujan J, Valero G, Hernandez Q, Sanchez A, Frutos MD, Parrilla P (2009) Randomized clinical trial comparing laparoscopic and open surgery in patients with rectal cancer. Br J Surg 96:982–989
Fleshman J, Sargent DJ, Green E, Anvari M, Stryker SJ, Beart RW Jr et al (2007) Laparoscopic colectomy for cancer is not inferior to open surgery based on 5-year data from the COST study group trial. Ann Surg 246:655–664
Veldkamp R, Kuhry E, Hop WC, Jeekel J, Kazemier G, Bonjer HJ et al (2005) Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial. Lancet Oncol 6:477–484
Guillou PJ, Quirke P, Thorpe H, Walker J, Jayne DG, Smith AM et al (2005) Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet 365:1718–1726
Panis Y, Maggiori L, Caranhac G, Bretagnol F, Vicaut E (2011) Mortality after colorectal cancer surgery: a French survey of more than 84,000 patients. Ann Surg 254:738–744
Kang SB, Park JW, Jeong SY, Nam BH, Choi HS, Kim DW et al (2010) Open versus laparoscopic surgery for mid or low rectal cancer after neoadjuvant chemoradiotherapy (COREAN trial): short-term outcomes of an open-label randomised controlled trial. Lancet Oncol 11:637–645
van der Pas MH, Haglind E, Cuesta MA, Furst A, Lacy AM, Hop WC et al (2013) Laparoscopic versus open surgery for rectal cancer (COLOR II): short-term outcomes of a randomised, phase 3 trial. Lancet Oncol 14:210–218
Hamzaoglu I, Karahasanoglu T, Baca B, Karatas A, Aytac E, Kahya AS (2011) Single-port laparoscopic sphincter-saving mesorectal excision for rectal cancer: report of the first 4 human cases. Arch Surg 146:75–81
Gaujoux S, Bretagnol F, Au J, Ferron M, Panis Y (2011) Single port access proctectomy with total mesorectal excision and intersphincteric resection with a primary transanal approach. Colorectal Dis 13:e305–e307
Gaujoux S, Maggiori L, Bretagnol F, Ferron M, Panis Y (2012) Safety, feasibility, and short-term outcomes of single port access colorectal surgery: a single institutional case-matched study. J Gastrointest Surg 16:629–634
Bulut O, Nielsen CB, Jespersen N (2011) Single-port access laparoscopic surgery for rectal cancer: initial experience with 10 cases. Dis Colon Rectum 54:803–809
Bulut O, Aslak KK, Rosenstock S (2014) Technique and short-term outcomes of single-port surgery for rectal cancer: a feasibility study of 25 patients. Scand J Surg 103(1):26–33
Kim SJ, Ryu GO, Choi BJ, Kim JG, Lee KJ, Lee SC et al (2011) The short-term outcomes of conventional and single-port laparoscopic surgery for colorectal cancer. Ann Surg 254:933–940
Vestweber B, Galetin T, Lammerting K, Paul C, Giehl J, Straub E et al (2013) Single-incision laparoscopic surgery: outcomes from 224 colonic resections performed at a single center using SILS. Surg Endosc 27:434–442
Champagne BJ, Papaconstantinou HT, Parmar SS, Nagle DA, Young-Fadok TM, Lee EC et al (2012) Single-incision versus standard multiport laparoscopic colectomy: a multicenter, case-controlled comparison. Ann Surg 255:66–69
Sourrouille I, Dumont F, Goere D, Honore C, Elias D (2013) Resection of rectal cancer via an abdominal single-port access: short-term results and comparison with standard laparoscopy. Dis Colon Rectum 56:1203–1210
Maggiori L, Gaujoux S, Tribillon E, Bretagnol F, Panis Y (2012) Single-incision laparoscopy for colorectal resection: a systematic review and meta-analysis of more than a thousand procedures. Colorectal Dis 14:e643–e654
Gash KJ, Goede AC, Chambers W, Greenslade GL, Dixon AR (2011) Laparoendoscopic single-site surgery is feasible in complex colorectal resections and could enable day case colectomy. Surg Endosc 25:835–840
Geisler DP, Kirat HT, Remzi FH (2011) Single-port laparoscopic total proctocolectomy with ileal pouch-anal anastomosis: initial operative experience. Surg Endosc 25:2175–2178
Chambers WM, Bicsak M, Lamparelli M, Dixon AR (2011) Single-incision laparoscopic surgery (SILS) in complex colorectal surgery: a technique offering potential and not just cosmesis. Colorectal Dis 13:393–398
Chew MH, Wong MT, Lim BY, Ng KH, Eu KW (2011) Evaluation of current devices in single-incision laparoscopic colorectal surgery: a preliminary experience in 32 consecutive cases. World J Surg 35:873–880
Leblanc F, Makhija R, Champagne BJ, Delaney CP (2011) Single incision laparoscopic total colectomy and proctocolectomy for benign disease: initial experience. Colorectal Dis 13:1290–1293
Podolsky ER, Curcillo PG 2nd (2010) Single port access (SPA) surgery–a 24-month experience. J Gastrointest Surg 14:759–767
Ross H, Steele S, Whiteford M, Lee S, Albert M, Mutch M et al (2011) Early multi-institution experience with single-incision laparoscopic colectomy. Dis Colon Rectum 54:187–192
Gash KJ, Goede AC, Kaldowski B, Vestweber B, Dixon AR (2011) Single incision laparoscopic (SILS) restorative proctocolectomy with ileal pouch-anal anastomosis. Surg Endosc 25:3877–3880
van den Boezem PB, Sietses C (2011) Single-incision laparoscopic colorectal surgery, experience with 50 consecutive cases. J Gastrointest Surg 15:1989–1994
Uematsu D, Akiyama G, Narita M, Magishi A (2011) Single-access laparoscopic low anterior resection with vertical suspension of the rectum. Dis Colon Rectum 54:632–637
Lauritsen ML, Bulut O (2012) Single-port access laparoscopic abdominoperineal resection through the colostomy site: a case report. Tech Coloproctol 16:175–177
Lee SW, Milsom JW, Nash GM (2011) Single-incision versus multiport laparoscopic right and hand-assisted left colectomy: a case-matched comparison. Dis Colon Rectum 54:1355–1361
Geisler D, Garrett T (2011) Single incision laparoscopic colorectal surgery: a single surgeon experience of 102 consecutive cases. Tech Coloproctol 15:397–401
Bulut O, Nielsen CB (2010) Single-incision laparoscopic low anterior resection for rectal cancer. Int J Colorectal Dis 25:1261–1263
Geisler DP, Condon ET, Remzi FH (2010) Single incision laparoscopic total proctocolectomy with ileopouch anal anastomosis. Colorectal Dis 12:941–943
Makino T, Milsom JW, Lee SW (2012) Feasibility and safety of single-incision laparoscopic colectomy: a systematic review. Ann Surg 255:667–676
Fung AK, Aly EH (2012) Systematic review of single-incision laparoscopic colonic surgery. Br J Surg 99:1353–1364
Huscher CG, Mingoli A, Sgarzini G, Mereu A, Binda B, Brachini G et al (2012) Standard laparoscopic versus single-incision laparoscopic colectomy for cancer: early results of a randomized prospective study. Am J Surg 204:115–120
Poon JT, Cheung CW, Fan JK, Lo OS, Law WL (2012) Single-incision versus conventional laparoscopic colectomy for colonic neoplasm: a randomized, controlled trial. Surg Endosc 26:2729–2734
Dumont F, Goere D, Honore C, Elias D (2012) Transanal endoscopic total mesorectal excision combined with single-port laparoscopy. Dis Colon Rectum 55:996–1001
Bhattacharjee HK, Buess GF, Becerra Garcia FC, Storz P, Sharma M, Susanu S et al (2011) A novel single-port technique for transanal rectosigmoid resection and colorectal anastomosis on an ex vivo experimental model. Surg Endosc 25:1844–1857
Whiteford MH, Denk PM, Swanstrom LL (2007) Feasibility of radical sigmoid colectomy performed as natural orifice transluminal endoscopic surgery (NOTES) using transanal endoscopic microsurgery. Surg Endosc 21:1870–1874
Sylla P, Rattner DW, Delgado S, Lacy AM (2010) NOTES transanal rectal cancer resection using transanal endoscopic microsurgery and laparoscopic assistance. Surg Endosc 24:1205–1210
Tuech JJ, Bridoux V, Kianifard B, Schwarz L, Tsilividis B, Huet E et al (2011) Natural orifice total mesorectal excision using transanal port and laparoscopic assistance. Eur J Surg Oncol 37:334–335
Choi BJ, Lee SC, Kang WK (2013) Single-port laparoscopic total mesorectal excision with transanal resection (transabdominal transanal resection) for low rectal cancer: initial experience with 22 cases. Int J Surg 11(33):858–863
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Maggiori, L., Panis, Y. (2014). Single Access Laparoscopic Rectal Anterior Resection. In: Pignata, G., Corcione, F., Bracale, U. (eds) Single-Access Laparoscopic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-06929-6_10
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DOI: https://doi.org/10.1007/978-3-319-06929-6_10
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