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Related Experiment Video

Updated: Mar 31, 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

Single incision laparoscopic surgery for multiple colorectal cancers.

Yasuhiro Ishiyama¹, Yasumitsu Hirano¹, Masakazu Hattori¹

¹Department of Surgery, Fukui Prefectural Hospital, Fukui, Japan.

Asian Journal of Endoscopic Surgery

|October 22, 2015

Summary

Single-incision laparoscopic surgery (SILS) for multiple colorectal cancers proved safe and effective. This minimally invasive approach allows for two colorectal resections and anastomoses with good short-term outcomes.

Keywords:

Laparoscopic colectomy multiple colorectal cancers single-incision laparoscopic surgery (SILS)

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Published on: January 9, 2026

Area of Science:

Colorectal Surgery
Minimally Invasive Surgery
Surgical Oncology

Background:

Multiple synchronous colorectal cancers present a surgical challenge.
Evaluating novel surgical techniques for complex cases is crucial.

Purpose of the Study:

To assess the short-term outcomes of single-incision laparoscopic surgery (SILS).
To evaluate the feasibility of performing two segmental colorectal resections and anastomoses in a single procedure for multiple synchronous colorectal cancers.

Main Methods:

Ten patients with multiple synchronous colorectal cancers underwent SILS.
The procedure involved two segmental colorectal resections and anastomoses.
Operative and postoperative outcomes were meticulously documented.

Main Results:

The median operative time was 270 minutes, with a median blood loss of 70 mL.
No intraoperative complications or conversions to open surgery were reported.
One patient required a diverting stoma, and four cases needed additional ports.

Conclusions:

SILS with two segmental colorectal resections and anastomoses is a safe procedure for multiple synchronous colorectal cancers.
This minimally invasive technique demonstrates feasibility and avoids severe postoperative complications.
SILS offers a viable option for managing complex colorectal cancer cases.