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Updated: Jun 5, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

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Experience with flexible stapling techniques in laparoscopic and conventional surgery.

Karl-Hermann Fuchs¹, Wolfram Breithaupt, Thomas Schulz

¹Department of Surgery, AGAPLESION-Markus-Krankenhaus, Wilhelm-Epstein-Straße 4, 60431, Frankfurt am Main, Germany. Karl-Hermann.Fuchs@fdk.info

Surgical Endoscopy

|December 21, 2010

Summary

This study shows that flexible stapling devices with computer-assisted steering are safe and effective for gastrointestinal and colorectal surgeries. These advanced tools improve minimal-access procedures and enable new surgical techniques.

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Area of Science:

Minimally Invasive Surgery
Surgical Technology
Gastrointestinal Surgery

Background:

Advanced minimal-access surgery relies on modern stapling devices.
Flexible shaft staplers with computer-assisted steering offer enhanced maneuverability.
This study evaluates the clinical application of these advanced stapling systems.

Purpose of the Study:

To assess the clinical feasibility of flexible shaft stapling devices with computer-assisted drives.
To evaluate the learning curve and clinical safety of these systems.
To analyze patient morbidity and compare outcomes with existing literature.

Main Methods:

Evaluation of laparoscopic and open gastrointestinal and colorectal surgeries.
Use of a flexible shaft stapling system with a power console and remote control.

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Last Updated: Jun 5, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

Application of circular and linear staplers for various anastomoses and divisions in 394 patients over 8 years.

Main Results:

A total of 1,258 stapler firings were performed across esophageal, gastric, and colorectal procedures.
Initial computer failure rates were 3.5%, and leak rates were 6.6%, which decreased to 3.2% over time.
Complication and morbidity rates were comparable to literature, with the flexible system enabling unique applications like laparoscopic COLLIS-Plasty.

Conclusions:

Flexible stapling systems with computer-assisted drives are advantageous for minimal-access surgery.
These systems facilitate innovative techniques in gastrointestinal and colorectal surgery.
The technology proves feasible and safe for complex procedures.