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World J Gastroenterol. Jan 28, 2014; 20(4): 997-1004
Published online Jan 28, 2014. doi: 10.3748/wjg.v20.i4.997
Published online Jan 28, 2014. doi: 10.3748/wjg.v20.i4.997
Overview of single-port laparoscopic surgery for colorectal cancers: Past, present, and the future
Say-June Kim, Byung-Jo Choi, Sang Chul Lee, Department of Surgery, Daejeon St. Mary’s Hospital, the Catholic University of Korea, Daeheung-dong 520-2, Jung-gu, Daejeon 301-723, South Korea
Author contributions: Lee SC designed the study, and finally approved the version to be published; Choi BJ contributed to acquiring and analyzing data; Kim SJ wrote the paper.
Correspondence to: Sang-Chul Lee, MD, PhD, Department of Surgery, Daejeon St. Mary’s Hospital, the Catholic University of Korea, Daeheung-dong 520-2, Jung-gu, Daejeon 301-723, South Korea. zambo9@catholic.ac.kr
Telephone: +82-42-2209269 Fax: +82-42-2209565
Received: August 31, 2013
Revised: November 1, 2013
Accepted: December 5, 2013
Published online: January 28, 2014
Processing time: 148 Days and 3.7 Hours
Revised: November 1, 2013
Accepted: December 5, 2013
Published online: January 28, 2014
Processing time: 148 Days and 3.7 Hours
Core Tip
Core tip: Single-port laparoscopic surgery (SPLS) has clear-cut benefits in terms of cosmesis and reduced wound morbidity. The technical difficulties have been overcome by novel concepts and maneuvers, including the concept of inverse triangulation and the maneuvers of pivoting, spreading out dissection, hanging suture, and transluminal traction. Cosmetic demerits, caused by the specimen extraction through the single-port site, can be selectively overcome by natural orifice specimen extraction (NOSE), such as using transvaginal or transanal route. In the near future, robotic SPLS with natural orifice transluminal endoscopic surgery’s way of specimen extraction seems to be pursued.