Related Experiment Video
Updated: Jun 2, 2026

08:26
Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
[Reduced port surgery : Developing a safe pathway to single port access surgery].
P G Curcillo1, A S Wu, E R Podolsky
1Department of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, PA, USA. pgc@curcillo.com
Summary
Minimally invasive surgical techniques like natural orifice transluminal endoscopic surgery (NOTES) and single-port access surgery aim for scarless outcomes. This review covers their development, learning curve, and new applications for safer, effective adoption.
Area of Science:
- Minimally invasive surgical techniques
- Laparoscopy and interventional endoscopy
- Surgical innovation
Context:
- The pursuit of scarless surgery is a key goal in modern surgical practices.
- Natural orifice transluminal endoscopic surgery (NOTES) and reduced port techniques offer potential for minimal scarring.
- Current platforms and applications for NOTES require further development for widespread adoption.
Purpose:
- To provide an overview of the evolution of minimally invasive surgical techniques.
- To discuss the learning curve associated with adopting these advanced procedures.
- To explore emerging applications and future directions in scarless surgery.
Summary:
- Scarless surgery is a primary objective, with natural orifice transluminal endoscopic surgery (NOTES) and single-port access surgery being key approaches.
- While acceptance is growing, these techniques require safe, effective, and economically viable implementation.
- This article reviews the historical development, learning curve, and novel applications of these scar-reducing surgical methods.
Impact:
- Facilitates the adoption of advanced minimally invasive techniques.
- Highlights the importance of safety, efficacy, and economic considerations in surgical innovation.
- Informs surgeons and researchers about the current state and future potential of scarless surgical procedures.

