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Single incision laparoscopic total proctocolectomy with ileopouch anal anastomosis

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 instrument...

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Bibliographic Details
Published in:Colorectal disease 2010-09, Vol.12 (9), p.941-943
Main Authors: Geisler, D. P., Condon, E. T., Remzi, F. H.
Format: Article
Language:English
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Summary: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.
ISSN:1462-8910
1463-1318
DOI:10.1111/j.1463-1318.2009.02115.x