Application and exploration of single-incision plus one port laparoscopic surgery in radical resection of colorectal cancer
10.3760/cma.j.cn115610-20250523-00210
- VernacularTitle:单孔+1腹腔镜手术在结直肠癌根治术中的应用与探索
- Author:
Yu ZHU
1
;
Hao WANG
;
Yanan WANG
;
Haijun DENG
;
Tingyu MOU
Author Information
1. 南方医科大学南方医院普通外科，广州 510515
- Publication Type:Journal Article
- Keywords:
Colorectal neoplasms;
Single incision plus one port laparoscopic surgery;
Safety;
Efficacy;
Complications
- From:
Chinese Journal of Digestive Surgery
2025;24(6):733-738
- CountryChina
- Language:Chinese
-
Abstract:
The surgical management of colorectal cancer has evolved from conventional multiport laparoscopic surgery toward more minimally invasive and individualized approaches. Among these, single-incision laparoscopic surgery (SILS) or reduced-port laparoscopic surgery (RPLS) has gained increasing attention from clinicians. Single-incision plus one port laparoscopic surgery (SILS+1) combines the advantages of both SILS and RPLS. Recent studies have demonstrated that compared with conventional multiport laparoscopic surgery, SILS+1 could yield comparable safety, feasibility and oncologic outcomes in treating colorectal cancer while offering additional benefits in enhanced recovery and better cosmesis.The development of SILS+1 relies heavily on innovations in single-port platforms and specialized instruments. By strictly adhering to its indica-tions, skillfully employing string and traction techniques during surgery, and the appropriate mana-gement of complications such as hemorrhage, the procedure can be performed safely and smoothly. The authors review relevant domestic and international studies and integrate the practical experi-ence to provide an in-depth discussion on the application and exploration of SILS+1 in radical colorectal cancer surgery, aiming to provide valuable insights for broader adoption of this approach.
