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Updated: May 25, 2026
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Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
Implementation and usefulness of single-access laparoscopic segmental and total colectomy
Summary
Single-incision laparoscopic surgery is effective for colorectal resections, particularly right-sided procedures. This approach using a glove port is feasible in routine practice and economically beneficial.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Surgery
- Surgical Innovation
Background:
- Single-access laparoscopic surgery is gaining popularity in minimally invasive colorectal procedures.
- Previous studies suggested feasibility, but routine practice utility needed evaluation.
Purpose of the Study:
- To prospectively assess the usefulness of single-access laparoscopic colorectal resection in routine surgical practice.
- To evaluate the feasibility and outcomes of a single-access approach using a glove port technique.
Main Methods:
- A prospective study of laparoscopic colorectal resections over 12 months at a university hospital.
- Utilized a single-access approach with a 'glove' port via a small periumbilical or stomal site incision.
- Employed standard rigid laparoscopic instruments for the procedures.
Main Results:
- 35 out of 76 (47%) planned laparoscopic colorectal resections were performed using the single-incision technique.
- The approach did not disrupt theatre efficiency or surgical training.
- Mean patient age was 58 years; modal postoperative discharge was day 4. Glove port use reduced trocar costs by 58%.
Conclusions:
- Single-incision laparoscopic surgery is an effective option for abdominal surgery, especially for laparoscopic-assisted right-sided colonic resections.
- The glove port technique enhances procedural frequency, familiarity, and economic favorability.
- This method is a viable and cost-effective alternative in colorectal surgery.
