Daher R, Chouillard E, Panis Y. New trends in colorectal surgery: Single port and natural orifice techniques. World J Gastroenterol 2014; 20(48): 18104-18120 [PMID: 25561780 DOI: 10.3748/wjg.v20.i48.18104]
Corresponding Author of This Article
Elie Chouillard, MD, Department of General and Digestive Surgery, Poissy/Saint-Germain Medical Center, 10 rue du Champ Gaillard, 78300 Poissy, France. chouillard@yahoo.com
Research Domain of This Article
Medicine, General & Internal
Article-Type of This Article
Review
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World J Gastroenterol. Dec 28, 2014; 20(48): 18104-18120 Published online Dec 28, 2014. doi: 10.3748/wjg.v20.i48.18104
New trends in colorectal surgery: Single port and natural orifice techniques
Ronald Daher, Elie Chouillard, Yves Panis
Ronald Daher, Elie Chouillard, Department of General and Digestive Surgery, Poissy/Saint-Germain Medical Center, 78300 Poissy, France
Yves Panis, Department of Colorectal Surgery, Beaujon Hospital, Assistance Publique Hopitaux de Paris, University Denis Diderot (Paris VII), 75013 Clichy, France
Author contributions: Daher R and Chouillard E designed research, performed research; Chouillard E and Panis Y contributed new reagents or analytic tools; Daher R, Chouillard E and Panis Y analyzed data; Daher R and Chouillard E wrote the paper.
Correspondence to: Elie Chouillard, MD, Department of General and Digestive Surgery, Poissy/Saint-Germain Medical Center, 10 rue du Champ Gaillard, 78300 Poissy, France. chouillard@yahoo.com
Telephone: +33-1-39275170 Fax: +33-1-39274873
Received: March 20, 2014 Revised: July 28, 2014 Accepted: October 15, 2014 Published online: December 28, 2014
Core Tip
Core tip: Despite lack of irrevocable proofs and unresolved technical issues, single-incision laparoscopic surgery (SILS) and natural orifice transluminal endoscopic surgery (NOTES) became inevitable options in today’s colorectal surgery armamentarium. In comparison to conventional laparoscopic surgery, colorectal SILS offers a cosmetic advantage with no compromise of surgical morbidity, oncological appropriateness or increased cost. The “down-to-up” total mesorectum excision appears as the most encouraging NOTES-related technique for clinical application in humans. It further offers potential benefits in functional and oncological outcomes. Well-designed randomised studies are now essential to validate the long-term results of these novel techniques.
