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Single-Port Laparoscopic TME with Coloanal Anastomosis

  • Armando Geraldo Franchini Melani
  • Luis Gustavo Capochin Romagnolo
  • Frédéric Bretagnol
Chapter

Abstract

Minimally invasive surgery is one of the major technical advances of the past 20 years. Interest in laparoscopy has led to the development of more minimally invasive surgeries such as natural orifice transluminal endoscopic surgery (NOTES) and laparoendoscopic single-site surgery (LESS).

The laparoendoscopic single-site surgery (LESS) emerged with the potential benefit of a single incision associated with the advantages of the laparoscopy to perform colorectal procedures. LESS is an emerging technique that meets enthusiastic surgical community, as stated by the large and increasing number of publications within the last years. The challenge to perform LESS is the triangulation needed among the instruments using a single-incision access. Compared with conventional laparoscopy using multiport access, the LESS approach may be more difficult to provide a good exposure of the surgical field. But in addition to the benefits of laparoscopy, LESS may offer a reduction in port-related complications such as pain, faster postoperative recovery, and improved cosmesis. The aim of this chapter is to describe the single-port technique to do total mesorectal excision (TME) resection with coloanal anastomoses.

Keywords

Laparoscopy Laparoendoscopy Rectal cancer 

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Copyright information

© Springer Japan 2018

Authors and Affiliations

  • Armando Geraldo Franchini Melani
    • 1
    • 2
  • Luis Gustavo Capochin Romagnolo
    • 3
  • Frédéric Bretagnol
    • 4
  1. 1.Colorectal Oncology Surgery, Americas Medical CityRio de JaneiroBrazil
  2. 2.IRCADRio de JaneiroBrazil
  3. 3.Department of Colorectal SurgeryBarretosBrazil
  4. 4.Department of Digestive SurgeryHôpital Louis Mourier (APHP)ColombesFrance

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