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Updated: May 9, 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

Novel approach to rectal foreign body extraction.

Yury Bak¹, Margaret Merriam, Marc Neff

¹Department of Surgery, University of Medicine and Dentistry of New Jersey, Stratford, NJ, USA.

JSLS : Journal of the Society of Laparoendoscopic Surgeons

|August 9, 2013

Summary

A novel Single Incision Laparo-Endoscopic Surgery (SILS) port approach enables minimally invasive removal of challenging rectal foreign bodies. This technique offers excellent visualization and reduces morbidity compared to traditional methods.

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Area of Science:

Colorectal surgery
Minimally invasive procedures
Gastroenterology

Background:

Impacted rectal foreign bodies present a significant management challenge.
Standard manual extraction often requires local anesthesia and sedation.
Failure of manual extraction may necessitate general anesthesia and more invasive techniques.

Observation:

A 31-year-old male presented with a transanally inserted plastic cigar case, unremovable by manual methods.
Attempts at manual extraction in the emergency department and operating room under general anesthesia were unsuccessful.
A Single Incision Laparo-Endoscopic Surgery (SILS) port was inserted transanally for retrieval.

Findings:

The SILS port facilitated rectal insufflation and visualization with a laparoscope.

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Last Updated: May 9, 2026

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A laparoscopic grasper used through the SILS port successfully removed the foreign body.

Direct visualization confirmed no mucosal injury, and the patient was discharged promptly.

Implications:

The SILS port provides a minimally invasive alternative for rectal foreign body extraction.
This technique enhances visualization and potentially reduces patient morbidity.
It represents a valuable addition to the armamentarium for managing complex rectal foreign bodies.