Single-port access laparoscopic surgery for rectal cancer: initial experience with 10 cases

Area of Science:

• Minimally Invasive Surgery
• Surgical Oncology
• Gastrointestinal Surgery

Background:

• Single-port access laparoscopic surgery (SPALS) is an evolving technique aiming to reduce surgical trauma and improve cosmetic outcomes compared to conventional laparoscopy.
• The application and feasibility of SPALS in rectal cancer surgery remain under investigation.

Purpose of the Study:

• To evaluate the initial clinical experience and outcomes of single-port access laparoscopic rectal surgery.
• To assess the safety and efficacy of SPALS for rectal cancer resections.

Main Methods:

• Prospective clinical study conducted at a university hospital.
• Ten patients with nonmetastatic rectal cancer underwent rectal resections using the SPALS technique.
• Perioperative data, including complications, pathological outcomes, and length of stay, were collected and analyzed.

Main Results:

• The median operative time was 229 minutes with minimal blood loss (0-100 mL).
• No anastomotic leaks or mortality were observed; all resection margins were clear.
• Median hospital stay was 7 days, with 2 cases requiring an additional port for intraoperative complications.

Conclusions:

• SPALS for rectal cancer is feasible and safe in selected slim patients with small tumors.
• The technique offers a potential alternative for experienced laparoscopic surgeons.
• Further prospective comparative studies are essential to establish the definitive role of SPALS in rectal cancer surgery.