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Single incision laparoscopic anterior resection for cancer using a "QuadiPort access system".

BACKGROUND
Single incision laparoscopic surgery (SILS) is developing rapidly and different devices are already available. However there is limited data in the literature about single port laparoscopic colorectal surgery.


AIMS
We report the first case of a single incision laparoscopic anterior resection for cancer using the device "QuadiPort Access System.


METHODS
A 66 year old female affected by adenocarcinoma of the rectosigmoid junction underwent a radical single incision laparoscopic anterior resection performed by an experienced laparoscopic team.


RESULTS
The preoperative staging was T2NOM0. The total operative time was 135 min. Length of hospital stay was 6 days. The length of the specimen was 27 cm and 21 nodes were isolated. The pathological examination showed adenocarcinoma staged T3N2MX; G2. There was no postoperative morbidity and at the 6 month follow-up, the patient presented in well condition with no complications and free from cancer.


CONCLUSION
Single incision laparoscopic anterior resection for locally advanced high rectal cancer seems to be feasible and the "QuadiPort Access System seems to be a valid device. To evaluate outcomes and costeffectiveness of SILS versus the standard laparoscopic colorectal surgery multicenter prospective randomised trials are necessary and the "QuadiPort Access System" could prove to be the device of choice.