LIU Xi 1,2 , CHEN Yijia 1,3 , HUANG Wei 1 , ZHANG Lin 1,2,3
  • 1. Department of Gastrointestinal Surgery, Chengdu Military General Hospital, Chengdu 610083, P. R. China;
  • 2. School of Clinical Medicine, Southwest Medical University, Luzhou, Sichuan 646000, P. R. China;
  • 3. School of Clinical Medicine, Southwest Jiaotong University, Chengdu 610031, P. R. China;
ZHANG Lin, Email: flysky8026@aliyun.com
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Objective  To understand status of technical realization, present development, faced problems, and application prospects of reduced-port laparoscopic surgery for rectal cancer, and to analyze safety and feasibility so as to provide theoretical and practical basis for clinical application and promotion. Method  By searching the databases such as Medline, Embase, and Wanfang, etc., the relevant literatures about reduced-port laparoscopic surgery for rectal cancer were collected and reviewed. Results  At present, the most common reduced-port laparoscopic surgery was the 1-port laparoscopic surgery, 2-port laparoscopic surgery, and 3-port laparoscopic surgery. The 1-port laparoscopic surgery had the effects of minimal invasiveness and cosmesis, but it was difficult to perform. The 2-port laparoscopic surgery for rectal cancer preserved as far as possible the effect of minimal invasiveness, the difficulty of procedure was reduced greatly, which was easy to be learnt and promoted. The experience of the 3-port laparoscopic surgery for rectal cancer contributed to the technical development of the 1-port laparoscopic surgery, with no need for the assisted incision for intraoperative specimen. The reduced-port laparoscopic surgery for rectal cancer was technically feasible and safe, which possessed the equal or better short-term outcomes as compared with the conventional 5-port laparoscopic or open surgery beside the radical resection for rectal cancer. However, the stringent technique for the laparoscopic surgery was necessary and it needed to overcome the learning curve. Conclusions  Reduced-port laparoscopic surgery has some obvious advantages in minimal invasiveness, cosmesis, and enhanced recovery. More large-sample, multi-center, randomized controlled trials are eager to further confirm safety, effectiveness, and feasibility of reduced-port laparoscopic surgery for rectal cancer.

Citation: LIU Xi, CHEN Yijia, HUANG Wei, ZHANG Lin. Recent clinical research advances of reduced-port laparoscopic surgery for rectal cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2018, 25(10): 1270-1275. doi: 10.7507/1007-9424.201804070 Copy

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