Modified Transvaginal-Assisted Single-Incision Laparoscopic Radical Surgery for Rectal Cancer in Women

 Abstract

 At present, the treatment effect of laparoscopic radical operation for rectal cancer with multi hole method (usually five holes) has been accepted and widely practiced in the world. Under the premise of ensuring the radical operation of laparoscopic rectal cancer, for more invasiveness, surgeons have been trying various new attempts, including single incision laparoscopic surgery, hole reduction laparoscopic surgery, natural orifice transluminal endoscopic surgery (NOTES) [1], natural orifice specimen extraction surgery (NOSES) [2], robot surgery [3] and so on. Among them, the single incision laparoscopic for rectal cancer radical operation requires only a small incision in the abdomen (usually the umbilicus). The laparoscopic lens, holding forceps, and ultrasonic scalpel are put into the abdominal cavity with a round port for the operation, which can bring about such advantages as small incision, less postoperative pain, and cosmetic result. However, in the same time it also brings about a lot of troubles as follow: first, the “chopsticks effect 

 

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