Glove port transanal minimally invasive surgery for rectal tumor        GAO Zhi-gang, YANG Yong, WANG Zhen-jun, et al. Department of General Surgery, Beijing Chaoyang Hospital, Capital University of Medicine, Beijing 100020, China
Corresponding author: WANG Zhen-jun, E-mail:Wang3zj@sohu.com
Abstract    Objective    To evaluate the validity of glove port transanal minimally invasive surgery for rectal benign tumor and early rectal cancer. Methods    From January 2013 to March 2013， 6 cases of transanal minimally invasive surgery (TAMIS) via a ‘glove TEM port’ were performed in Department of General Surgery, Beijing Chaoyang Hospital, Capital University of Medicine. The access device was constructed using a circular anal dilator (CAD), wound retractor and standard surgical glove, along with standard, straight laparoscopic trocars and instruments. Results    Five cases underwent full thickness resection and the incisions were closed with an absorbable continuous suture. One patient underwent non-full thickness resection of rectum polyps. The median operating time was 45min. The average blood lost was 10mL. Pathological analysis proved achieving R0 resection in all cases. All cases were discharged in the second day after operation with no intraoperative morbidity. All cases were followed up for 21 days with no postoperative complication. Conclusion    The glove port TAMIS using conventional laparoscopic equipments and instruments is safe, inexpensive and effective.