BACKGROUND: Single port access (SPA) surgery is a new procedure for minimal invasive surgery using one multichannel port. The authors adapted this technique for transanal surgery as an improvement of the transanal endoscopic microsurgery (TEM). METHODS: A total of 3 patients underwent SPA modified TEM using the SILS port (Covidien) under CO(2) insufflation. This port allows insertion of 2 laparoscopic instruments and a telescope. RESULTS: The operation was completed successfully in all cases. The transanal placement of the SILS port was easy to perform; a prior dilatation of the anal sphincter was not necessary. There were no perioperative or postoperative complications as verified by postoperative observation, rectoscopy, and anal ultrasound. CONCLUSIONS: Transanal single port microsurgery is a feasible and new technique for less invasive and more gentle transanal surgery. By using this new multichannel device TEM surgery was changed in a modified way while preserving the anal sphincter.
BACKGROUND: Single port access (SPA) surgery is a new procedure for minimal invasive surgery using one multichannel port. The authors adapted this technique for transanal surgery as an improvement of the transanal endoscopic microsurgery (TEM). METHODS: A total of 3 patients underwent SPA modified TEM using the SILS port (Covidien) under CO(2) insufflation. This port allows insertion of 2 laparoscopic instruments and a telescope. RESULTS: The operation was completed successfully in all cases. The transanal placement of the SILS port was easy to perform; a prior dilatation of the anal sphincter was not necessary. There were no perioperative or postoperative complications as verified by postoperative observation, rectoscopy, and anal ultrasound. CONCLUSIONS: Transanal single port microsurgery is a feasible and new technique for less invasive and more gentle transanal surgery. By using this new multichannel device TEM surgery was changed in a modified way while preserving the anal sphincter.
Authors: B C Martins; Carlos Frederico Sparapan Marques; Caio Sérgio Rizkallah Nahas; Fábio Yuji Hondo; Wilson Pollara; Sérgio Carlos Nahas; U Ribeiro Junior; Ivan Cecconello; Fauze Maluf-Filho Journal: Surg Endosc Date: 2012-03-10 Impact factor: 4.584
Authors: S Atallah; G Nassif; H Polavarapu; T deBeche-Adams; J Ouyang; M Albert; S Larach Journal: Tech Coloproctol Date: 2013-06-26 Impact factor: 3.781
Authors: I E Gorgun; I Emre Gorgun; Erman Aytac; Meagan M Costedio; Hasan H Erem; Michael A Valente; Luca Stocchi Journal: Surg Endosc Date: 2013-11-01 Impact factor: 4.584
Authors: Sujata Gill; Jamil L Stetler; Ankit Patel; Virginia O Shaffer; Jahnavi Srinivasan; Charles Staley; S Scott Davis; Edward Lin; Patrick S Sullivan Journal: J Gastrointest Surg Date: 2015-05-28 Impact factor: 3.452