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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
Minimally invasive techniques to decrease the impact of colorectal surgery for neoplasia
1Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL, USA - wexners@ccf.org.
Abstract:
Minimally invasive colorectal surgery has evolved over the past few decades. Techniques currently in practice to decrease the impact of colorectal surgery for neoplasia include laparoscopy and its derivations, robotic surgery, transanal endoscopic surgery (TES), transanal total mesorectal excision (taTME), natural orifice specimen extraction (NOSE), needlescopic surgery, and advanced endoscopy. Many of the new techniques are variations of standard laparoscopy that aim to decrease the size of the incisions (needlescopic surgery), decrease the number of incisions (single-incision laparoscopic surgery, SILS), or eliminate the need for a specimen extraction incision (taTME). Each variation must be evaluated for safety and efficacy, especially in oncologic outcome. It is imperative that clinicians understand the role and limitation of each minimally-invasive technique. The goal moving forward should be to develop and sustain technology that is safe, effective, and offers superior clinical outcomes when compared to the current gold standards.
Insights
Minimally invasive colorectal surgery utilizes techniques like laparoscopy and robotic surgery to reduce patient impact. Ongoing evaluation of these advanced methods ensures safe and effective oncologic outcomes.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Colorectal surgery has seen significant advancements in minimally invasive techniques over recent decades.
- Current methods aim to reduce surgical impact, including laparoscopy, robotic surgery, and advanced endoscopic procedures.
Purpose of the Study:
- To review current minimally invasive colorectal surgery techniques for neoplasia.
- To emphasize the need for evaluating the safety and efficacy of these evolving surgical methods.
Main Methods:
- Review of established and emerging minimally invasive colorectal surgery techniques.
- Discussion of variations such as needlescopic surgery, single-incision laparoscopic surgery (SILS), and transanal total mesorectal excision (taTME).
Main Results:
- Minimally invasive techniques offer alternatives to traditional surgery, focusing on reduced incision size and number.
- Specific techniques like transanal endoscopic surgery (TES) and natural orifice specimen extraction (NOSE) are highlighted.
Conclusions:
- Each minimally invasive technique requires rigorous evaluation for safety and oncologic outcomes.
- Future goals include developing and sustaining technologies that provide superior clinical results compared to current standards.
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