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Single-port access laparoscopic abdominoperineal resection through the colostomy site: a case report

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Manometric assessment of anorectal function after transanal total mesorectal excision

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  2. The REAL (REctal Anastomotic Leak) score for prediction of anastomotic leak after rectal cancer surgery

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Primary and repeated perineal stapled prolapse resection

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  4. Transanal endoscopic microsurgery for giant polyps of the rectum

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  1. Carbon Dioxide Embolism Associated With Transanal Total Mesorectal Excision Surgery: A Report From the International Registries

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Inflammatory response after transanal total mesorectal excision

    Research output: Chapter in Book/Report/Conference proceedingBook chapterResearchpeer-review

  3. Transanal completion proctectomy with close rectal dissection and ileal pouch-anal anastomosis for ulcerative colitis

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Single-port access (SPA) laparoscopic surgery is emerging as an alternative to conventional laparoscopic and open surgery, although its benefits still have to be determined. We present the case of a 87-year-old woman who underwent abdominoperineal resection (APR) with SPA. The abdominal part of the operation was performed with a SILS port inserted through the marked colostomy site, and the specimen was removed through the perineum after intersphincteric dissection. Operating time was 317 min. Bleeding was negligible. The specimen measured 26 cm in length. Thirteen lymph nodes were found, 2 with metastasis. The patient recovered bowel function on the first postoperative day, was discharged on the 7th day and immediately resumed her to normal activities. Laparoscopic APR through SPA can be an alternative option for selected patients but requires advanced laparoscopic skills.
Original languageEnglish
JournalTechniques in Coloproctology
Volume16
Pages (from-to)175-77
Number of pages2
ISSN1123-6337
DOIs
Publication statusPublished - 2012

ID: 33249790