%0 Journal Article
%T Three Ports Laparoscopic Resection for Colorectal Cancer: A Step on Refining of Reduced Port Surgery
%A Anwar Tawfik Amin
%A Tarek M. Elsaba
%A Gamal Amira
%J ISRN Surgery
%D 2014
%R 10.1155/2014/781549
%X Background. Reduced port surgery (RPS) is becoming increasingly popular for some surgeries. However, the application of RPS to the field of colectomy is still underdeveloped. Patients and Methods. In this series, we evaluated the outcome of laparoscopic colorectal resection using 3 ports technique (10ˋmm umbilical port plus another two ports of either 5 or 10ˋmm) for twenty-four cases of colorectal cancer as a step for refining of RPS. Results. The mean estimated blood loss was 70ˋmL (40每90ˋmL). No major intraoperative complications have been encountered. The mean time for passing flatus after surgery was 36 hours (12每48ˋhrs). The mean time for oral fluid intake was 36 hours and for semisolid food was 48 hours. The mean hospital stay was 5 days (4每7 days). The perioperative period passed without events. All cases had free surgical margins. The mean number of retrieved lymph nodes was 14 lymph nodes (5每23). Conclusion. Three ports laparoscopy assisted colorectal surgeries looks to be safe, effective and has cosmetic advantages. The procedure could maintain the oncologic principles of cancer surgery. It＊s a step on the way of refining of reduced port surgery. 1. Introduction Laparoscopy has emerged as a useful tool in the surgical treatment of the colon and rectal diseases. Specifically for colon cancer, a laparoscopic approach offers short-term benefits to patients while it looks to maintain long-term oncologic outcomes. Favorable postoperative results in terms of less pain, less consumption of analgesia, early return of bowel function, and short hospital stay in patients who underwent laparoscopic colorectal surgery have been persistently reported, both in series with benign and malignant colorectal diseases [1每4]. Published randomized trials comparing laparoscopic and open colorectal resection did not show inferior oncologic results in patients who underwent laparoscopic surgery [5每9]. The added advantages of improved morbidity and cosmesis after laparoscopic surgery make reduction of ports number or even single incision laparoscopic colectomy a viable alternative to the conventional multiports laparoscopic colectomy. However, reduced ports surgery (RPS) as well as single incision laparoscopic colectomy (SILC) are challenging and highly demanding techniques. In this series, we have evaluated the outcome of our newly developed technique of laparoscopic resection of colorectal cancer, only using three ports as a step on refining of reduced port surgery. 2. Patients and Methods Twenty-four patients (13 males and 11 females) have been enrolled for this
%U http://www.hindawi.com/journals/isrn.surgery/2014/781549/