Single incision laparoscopic total proctocolectomy with ileopouch anal anastomosis.

Colorectal Dis

Department of Colorectal Surgery, The Digestive Diseases Institute, Cleveland Clinic, Cleveland, OH, USA.

Published: September 2010

Aim: We present our initial experience of a single port laparoscopic total proctocolectomy with ileoanal J pouch anastomosis. The single incision laparoscopic surgery (SIL), (Covidien, Norwalk, Connecticut, USA) device with a multichannel cannula and specially designed curved laparoscopic instrumentation were used.

Method: A patient with familial adenomatous polyposis underwent restorative proctocoectomy. A colonoscopy had demonstrated nearly 1000 polyps in the colon with several 1-cm polyps in the rectum. The abdomen was entered through a 2.5 cm incision sited preoperatively for the temporary ileostomy. The single port device was inserted and a total proctocolectomy was performed. Ligation of the vessels was performed with the Ligasure (Covidien). The colon and rectum were extracted through the SIL site. An 18-cm ileoanal J pouch was created extracorporeally. The pouch anal anastomosis was performed intracorporeally and a diverting loop ileostomy created through the SIL port site.

Results: The operating time was 172 min. Blood loss was 100 ml and the hospital stay was 4 days without any complication. The patient had a virtually scar-less abdomen other than the site of the loop ileostomy.

Conclusion: Single port laparoscopic surgery may allow complex colorectal surgery to be performed resulting in a virtually scar-less procedure.

Download full-text PDF

Source
http://dx.doi.org/10.1111/j.1463-1318.2009.02115.xDOI Listing

Publication Analysis

Top Keywords

total proctocolectomy
12
single port
12
single incision
8
incision laparoscopic
8
laparoscopic total
8
anal anastomosis
8
port laparoscopic
8
ileoanal pouch
8
laparoscopic surgery
8
virtually scar-less
8

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!