Background: Single-incision laparoscopic surgery is widespread, especially for cholecystectomy, oophorectomy and appendectomy, but single-incision laparoscopic colorectal surgeryis not often performed because of the highly complex operative skills required. We report a new technique for single-incision laparoscopic rectal anterior resection with conventional instrumentation.
Method: A 65-year-old man required additional excision because the deep margin was positive by pathological diagnosis when we did a polypectomy of rectal polyps. We undertook a single-incision laparoscopic rectal anterior resection using a prolapsing technique.
Results: The procedure was technically successful without placement of additional trocars. Operative time was 316 minutes. There were no intraoperative or postoperative complications. The patient was discharged on the 9th postoperative day.
Conclusion: Single-incision laparoscopic rectal anterior resection is technically feasible and safe. No complications nor longer hospitalization were found in comparison to a normal laparoscopic rectal anterior resection. The surgical skills and equipment pose a real challenge to the surgeon, but if the cases are limited, the single-incision laparoscopic approach to rectal anterior resection proves worthwhile. The development of new surgical skills and instrumentation is much awaited.
Program Number: P140