Single and reduced port laparoscopic surgery for colorectal cancer: current status and future perspectives
10.3760/cma.j.issn.0529-5815.2017.07.002
- VernacularTitle: 单孔和减孔腹腔镜结直肠癌切除术发展现状及展望
- Author:
Guoxin LI
1
;
Junmeng LI
;
Yanan WANG
;
Haijun DENG
;
Tingyu MOU
Author Information
1. Department of General Surgery, Nanfang Hospital Southern Medical University, Guangzhou 510515, China
- Publication Type:Journal Article
- Keywords:
Colorectal neoplasms;
Laparoscopy
- From:
Chinese Journal of Surgery
2017;55(7):486-490
- CountryChina
- Language:Chinese
-
Abstract:
For further maximizing the minimally invasive benefits for colorectal cancer patients, laparoscopic surgeons have been dedicating to improve the surgery through single-port (SILES) or natural orifice transluminal endoscopic surgery (NOTES), which is supported by amount of single-port devices and flexible laparoscopic instruments.Many small sample studies of single institution have suggested that SILES for colorectal cancer has similar oncological outcomes with conventional laparoscopic surgery (CLS), could improve the cosmetic results, and is more minimally invasive than CLS. However, evidences of advantages for SILES are limited, because of there has been only 4 published studies of prospective randomized clinical trial so far. Due to the technical difficulties and long learning curves, SILES and NOTES are relatively hard to be widely promoted. Thus, a balance between minimally invasive pursuit and laparoscopic technical challenge should be sought. In this way, modified SILES and reduced-port laparoscopic surgery have emerged in recent years, which might be minimally invasive solutions with lower technical demanding for laparoscopic colorectal cancer surgeries. Adding a port as the surgeon′s dominant operation channel improved the collisions or overlapping of instruments with movement to reduce the technical difficulties. SILS+ 1 is safe and feasible, would be supported by more and more evidences.
