gms | German Medical Science

Background: Most surgeons are now convinced of the benefits of the laparoscopic approach in colorectal surgery. The laparoscopic approach for benign and malignant colon disease is safe, feasible, and effective. More challenging is the adoption of this approach while addressing colorectal cancer disease and maintaining oncological principles. After performing a standard laparoscopic surgery technique in benign and malignant diseases for several years, we are now moving one step forwards. “Reduced Port TME” has been implemented in our department for two years now as a standard in colorectal surgery, also including all patients with rectal cancer.

Materials and methods: The OCTO-Port^® was utilsed at the site of the Loop Ileostoma, which was marked before the operation. In addition, a 5mm Transport^® trocar was inserted in the lower third of the abdominal wall. The operation steps are generally equivalnet to a standard laparoscopic approach. At the end of the operation the specimen is extracted through the wound retractor of the OCTO-Port^®, negating the need for an additional incision. The anastomosis is performed with a Compact CS^® (Figure 1 [Fig. 1]).

Results: According to the latest and most relevant study (COLOR II) which involved 30 Hospitals in 8 countries, as well as our own study (Publication to follow) we can approve the safety and accuracy of this approach in comparison with the classic open approach when dealing with Rectum cancer (Table 1 [Tab. 1]).

Conclusion: Reduced Port TME is an advanced minimallly invasive laparoscopic surgical technique that allows surgeons a more accurate pelvic dissection while improving the visualisation of the operating field. Less manipulation of the tissue should improve the operative and short term outcomes. This particular surgical technique reduces abdominal wall trauma and the potential risk of port site metastasis.