| Autor: |
Geisler, D. P., Condon, E. T., Remzi, F. H. |
| Předmět: |
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| Zdroj: |
Colorectal Disease; Sep2010, Vol. 12 Issue 9, p941-943, 3p, 1 Color Photograph |
| Abstrakt: |
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. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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