{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T07:16:54Z","timestamp":1695799014110},"reference-count":48,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,11,12]],"date-time":"2015-11-12T00:00:00Z","timestamp":1447286400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Laparoscopic surgery for rectal cancer has low rates of morbidity and mortality and achieves comparable pathologic outcomes. With improved instruments and surgical techniques, many surgeons have recently begun using single\u2010access laparoscopic surgery (<jats:styled-content style=\"fixed-case\">SALS<\/jats:styled-content>) to minimize scars and pain. Since 2011, most reports of <jats:styled-content style=\"fixed-case\">SALS<\/jats:styled-content> for rectal cancer have shown comparable pathologic outcomes to those of conventional laparoscopic surgery (<jats:styled-content style=\"fixed-case\">CLS<\/jats:styled-content>). However, <jats:styled-content style=\"fixed-case\">SALS<\/jats:styled-content> is said to be superior to <jats:styled-content style=\"fixed-case\">CLS<\/jats:styled-content> in reducing complications, producing less discomfort, and faster recovery rates. This study aimed to compare the technical feasibility and early postoperative outcomes of these approaches.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2011 to <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2014, 78 cases of adenocarcinoma of the rectum and anal canal were enrolled in the study. Anterior, low anterior, intersphincteric, and abdominoperineal resections were performed. Data collected included technical feasibility and outcomes of operation, such as morbidity, mortality, severity of pain, analgesic usage, and length of hospital stay.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">SALS<\/jats:styled-content> was performed on 35 patients, and <jats:styled-content style=\"fixed-case\">CLS<\/jats:styled-content> was performed in 36 cases. Demographic data, including age, sex, <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">ASA<\/jats:styled-content> classification and clinical staging, were similar between the groups. Operative time, blood loss, and conversion rate were similar (<jats:italic>P<\/jats:italic>\u2009&gt;\u20090.05). Postoperatively, the only significant difference between the groups was pain score, which was significantly lower in the <jats:styled-content style=\"fixed-case\">SALS<\/jats:styled-content> group (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">SALS<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">CLS<\/jats:styled-content> for rectal and anal cancer had the same intraoperative, pathologic, and early postoperative results. However, <jats:styled-content style=\"fixed-case\">SALS<\/jats:styled-content> patients had slightly better pain scores in the first 24 and 48 h postoperatively.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12254","type":"journal-article","created":{"date-parts":[[2015,11,13]],"date-time":"2015-11-13T02:48:50Z","timestamp":1447382930000},"page":"44-51","source":"Crossref","is-referenced-by-count":1,"title":["Comparison between the perioperative results of single\u2010access and conventional laparoscopic surgery in rectal cancer"],"prefix":"10.1111","volume":"9","author":[{"given":"Siripong","family":"Sirikurnpiboon","sequence":"first","affiliation":[{"name":"Department of Surgery Rajavithi Hospital College of Medicine Rangsit University  Bangkok 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