Restorative restproctectomy as single-port surgery through the ostomy site in a three-stage procedure
| Autor: | Bernd Krakamp, Jurgen Knuth, Markus M. Heiss, Dirk R. Bulian |
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| Rok vydání: | 2012 |
| Předmět: |
Laparoscopic surgery
Male medicine.medical_specialty business.industry Proctocolectomy medicine.medical_treatment General surgery Proctocolectomy Restorative Colostomy Ostomy Site Middle Aged medicine.disease Ulcerative colitis Surgery Ileostomy medicine Feasibility Studies Humans Colitis Ulcerative Laparoscopy Pouch business Abdominal surgery |
| Zdroj: | Surgical endoscopy. 26(12) |
| ISSN: | 1432-2218 |
| Popis: | Single-port laparoscopic surgery as an alternative to traditional laparoscopic technique is anticipated to be beneficial in the early postoperative course. We describe restorative restproctectomy as single-port surgery through the ostomy site in a three-stage procedure for refractory ulcerative colitis 12 weeks after laparoscopic subtotal colectomy. After release of the terminal ileostomy, creating the ileal J pouch extra-abdominally, a single-port device was placed. Through this, the rectal stump was mobilized and extracorporeally closed. The ileal pouch anal anastomosis was created using circular double-stapling technique. The single-port device was removed, and the loop ileostomy was placed at the same site. We employed this technique in a 54 year-old patient who had suffered from ulcerative colitis. No postoperative complications were observed. Restorative restproctectomy as single-port surgery through the ostomy site is safe and feasible. No additional incision is necessary. The trauma of conventional laparoscopic access can be further reduced. |
| Databáze: | OpenAIRE |
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