Bracale U, Nastro P, Bramante S, Pignata G
Department of General and Minimally-Invasive Surgery, San Camillo Hospital, Trento, Italy.
Acta Chir Iugosl. 2010;57(3):105-9. doi: 10.2298/aci1003105b.
Single incision laparoscopic surgery (SILS) is developing rapidly and different devices are already available. However there is limited data in the literature about single port laparoscopic colorectal surgery.
We report the first case of a single incision laparoscopic anterior resection for cancer using the device "QuadiPort Access System.
A 66 year old female affected by adenocarcinoma of the rectosigmoid junction underwent a radical single incision laparoscopic anterior resection performed by an experienced laparoscopic team.
The preoperative staging was T2NOM0. The total operative time was 135 min. Length of hospital stay was 6 days. The length of the specimen was 27 cm and 21 nodes were isolated. The pathological examination showed adenocarcinoma staged T3N2MX; G2. There was no postoperative morbidity and at the 6 month follow-up, the patient presented in well condition with no complications and free from cancer.
Single incision laparoscopic anterior resection for locally advanced high rectal cancer seems to be feasible and the "QuadiPort Access System seems to be a valid device. To evaluate outcomes and costeffectiveness of SILS versus the standard laparoscopic colorectal surgery multicenter prospective randomised trials are necessary and the "QuadiPort Access System" could prove to be the device of choice.
单切口腹腔镜手术（SILS）发展迅速，已有多种不同设备可供使用。然而，关于单孔腹腔镜结直肠手术的文献资料有限。
我们报告首例使用“QuadiPort接入系统”进行单切口腹腔镜直肠癌前切除术的病例。
一名66岁乙状结肠直肠交界处腺癌女性患者，由经验丰富的腹腔镜手术团队进行了单切口腹腔镜根治性前切除术。
术前分期为T2N0M0。总手术时间为135分钟。住院时间为6天。标本长度为27厘米，分离出21个淋巴结。病理检查显示腺癌分期为T3N2MX；G2。无术后并发症，术后6个月随访时，患者状况良好，无并发症且无癌症复发。
单切口腹腔镜局部进展期高位直肠癌前切除术似乎可行，“QuadiPort接入系统”似乎是一种有效的设备。为评估SILS与标准腹腔镜结直肠手术的疗效和成本效益，有必要开展多中心前瞻性随机试验，“QuadiPort接入系统”可能被证明是首选设备。
