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. Single-access laparoscopic surgery (SALS) has been successfully introduced for colectomy surgery; however, for mid to low rectum procedures such as total mesorectal excision, it can be technically complicated. In this study, we introduced a single-access technique for rectum cancer operations without the use of other instruments.  Aims . To show the short-term results of single-access laparoscopic rectal surgery in terms of pathologic results and immediate complications.  Settings and Design . Prospective study.  Materials and Methods . We selected middle rectum to anal canal cancer patients to undergo single-access laparoscopic rectal resection for rectal cancer. All patients had total mesorectal excisions. An umbilical incision was made for the insertion of a single multichannel port, and a mesocolic window was created to identify the inferior mesenteric artery and vein. Total mesorectal excision was performed. There were no perioperative complications. The mean operative time was 269 minutes; the median hospital stay was 7 days; the mean wound size was 5.5 cm; the median number of harvested lymph nodes was 15; and all patients had intact mesorectal capsules.  Statistical Analysis Used . Mean, minimum–maximum.  Conclusion . Single-access laparoscopic surgery for rectal cancer is feasible while oncologic principles and patient safety are maintained.

Single-Access Laparoscopic Rectal Surgery Is Technically Feasible