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Revista Mexicana de Cirugía Endoscópica

ISSN 1665-2576 (Print)
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2011, Number 4

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Rev Mex Cir Endoscop 2011; 12 (4)

Left colectomy early experience with single port approach in a third level health care center

Camacho-Mauries D, Salgado-Nesme N, Ramírez AEM, González QH
Full text How to cite this article

Language: Spanish
References: 10
Page: 155-159
PDF size: 297.60 Kb.


Key words:

Left colectomy, SILS, single-incision laparoscopic surgery.

ABSTRACT

Background: Single port surgery is trendy and in recent years has taken on greater importance in colorectal surgery. Multiple surgical journals are describing series and case reports demonstrating the feasibility and safety of this approach. It is expected to reduce the trauma and inflammatory response by minimizing the number of incisions and thereby reducing postoperative pain and gain cosmetic benefits associated with a lower risk of long-term incisional hernias. Methods: We reviewed retrospectively the records of patients who consecutively attended the Institute for surgery for a left hemicolectomy. Inclusion criteria: Patients with post-operative left hemicolectomy with single port approach. Results: We operated 9 patients (3 women and 6 men). Most patients had a diagnosis of diverticulitis and 1 with a diagnosis of adenocarcinoma. The wound was 3.4 cm on average (range 3-5 cm). We did not have any intraoperative complication and no conversion. Surgical time was 91 min on average (55-120), bleeding average 41 mL (10-120). All patients started diet after 48 h, and the hospital stay was in average 5 days (3-14). Conclusion: The approach for single port is safe and feasible to perform left hemicolectomies.


REFERENCES

  1. Bonjer HJ, Hop WCJ, Nelson H et al. Laparoscopically assisted vs open colectomy for colon cancer: a meta-analysis. Archives of Surgery 2007; 3: 298-303.

  2. Remzi FH, Kirat HT, Kaouk JH, Geisler DP. Single port laparoscopy in colorectal surgery. Colorectal Disease 2008; 8: 823-826.

  3. Bucher P, Pugin F, Morel P. Transumbilical single incision laparoscopic sigmoidectomy for benign disease. Colorectal Disease 2010; 1: 61-65.

  4. Bucher P, Pugin F, Morel P, et al. Single port access laparoscopic radical left colectomy in humans. Dis Colon Rectum 2009; 52: 1797-1801.

  5. Katsuno G, Fukunaga M, Nagakari K, et al. Single-incision laparoscopic colectomy for colon cancer: early experience with 31 cases. Dis Colon Rectum 2011; 54: 705-710.

  6. Bulut O, Nielsen C, Jespersen N, et al. Single-port access laparoscopic surgery for rectal cancer. Initial experience with 10 cases. Dis Colon Rectum 2011; 54: 803-809.

  7. González QH et al. Laparoscopic vs open total mesorectal excision for treatment of rectal cancer. Rev Invest Clin 2008; 60: 205-211.

  8. González QH et al. Laparoscopic versus open total mesorectal excision: A nonrandomized comparative prospective trial in a tertiary center in Mexico City. Am Surg 2009; 75: 33-38.

  9. Bucher P, Pugin F, Morel P. Single port access laparoscopic right hemicolectomy. Int J Colorectal Dis 2008; 23: 1013-1016.

  10. Geisler DP, Condon ET, Remzi FH. Single incision laparoscopic total proctocolectomy with ileopouch anal anastomosis. Colorectal Dis 2010; 12: 941-943.




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Rev Mex Cir Endoscop. 2011;12