Single port access laparoscopic right hemicolectomy

Background Single port access (SPA) surgery is a rapidly evolving field as it combines some of the cosmetic advantage of the Natural Orifice Translumenal Endoscopic Surgery (NOTES) and allows performing surgical procedure with standard surgical instruments. We report in this paper a new technique of...

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Bibliographic Details
Published in:International journal of colorectal disease 2008-10, Vol.23 (10), p.1013-1016
Main Authors: Bucher, Pascal, Pugin, François, Morel, Philippe
Format: Article
Language:English
Subjects:
Aged, 80 and over
Biological and medical sciences
Case Report
Colectomy - instrumentation
Colonic Polyps - surgery
Digestive system. Abdomen
Endoscopy
Equipment Design
Gastroenterology
Gastroenterology. Liver. Pancreas. Abdomen
Hepatology
Humans
Internal Medicine
Investigative techniques, diagnostic techniques (general aspects)
Laparoscopes
Laparoscopy - methods
Medical sciences
Medicine
Medicine & Public Health
Proctology
Stomach, duodenum, intestine, rectum, anus
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
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Summary:Background Single port access (SPA) surgery is a rapidly evolving field as it combines some of the cosmetic advantage of the Natural Orifice Translumenal Endoscopic Surgery (NOTES) and allows performing surgical procedure with standard surgical instruments. We report in this paper a new technique of umbilical SPA right hemicolectomy with conventional surgical oncologic principle and technique of minimally invasive colectomy. Methods Preliminary experience with umbilical SPA right hemicolectomy in a patient with degenerated ascending colon polyp. Results Umbilical SPA right hemicolectomy was feasible with conventional laparoscopic instruments. Carcinologic surgical principle can be respected using this technique as pathological specimen had sufficient surgical margins (>10 cm) and lymph nodes (33). Operative time was 158 min. No peroperative or postoperative complications were recorded. Conclusion SPA right hemicolectomy is feasible and safe when performed by experienced laparoscopic surgeons. SPA right hemicolectomy may have the advantage over NOTES approach to offer the safety of laparoscopic colectomy especially for haemostasis and anastomosis. It has to be determined whether or not this approach would offer benefit to patients, except in cosmesis, compared to standard laparoscopic right hemicolectomy.
ISSN:0179-1958
1432-1262
DOI:10.1007/s00384-008-0519-8