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Figure 1. Surgical gloves as a reservoir. Powder free surgical glove can be used as a reservoir instead of Airseal system. Using a pair of
gloves is good enough and provides stable pneumo-rectum/pelvis during transanal procedures
Figure 2. Solo surgery using a camera holder. Inevitable jam during single port laparoscopic surgery can be solved by applying the solo
surgery. With the help of a camera holder fixed to rail of bed, the operator can use the space freely for stable procedures
Once perforation occurs, suture is possible even under TAMIS conditions, so it can be repaired by
transanal manipulation. However, if the injury is large or there is already contamination of the abdominal
cavity by the intestinal contents, repair and lavage may be necessary by the transabdominal approach. In
this case, a single port laparoscopic procedure is usually preferred. Once the transabdominal approach is
added, the length of stay is usually longer.
