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- Title
Single-port laparoscopic total proctocolectomy with ileal pouch-anal anastomosis: initial operative experience.
- Authors
Geisler, Daniel P.; Kirat, Hasan T.; Remzi, Feza H.
- Abstract
Background: Single-port laparoscopic surgery (SPLS) has been used in urologic, gynecologic, general, and colorectal surgery. We herein report our experience with the use of SPLS for total proctocolectomy with ileal pouch-anal anastomosis (RP/IPAA). Methods: All patients who underwent a RP/IPAA using SPLS between June and September 2009 were identified from a prospectively maintained laparoscopic database. All procedures were performed with the use of a 5-mm Olympus EndoEye™ and traditional laparoscopic instruments via a SILS™ port placed at the planned ileostomy site. Results: There were five patients (3 male) included in the study. Median age was 43 years (range = 13-47 years). Median body mass index was 20.66 kg/m (range = 14.63-25.97 kg/m). Diagnoses included ulcerative colitis ( n = 4) and familial adenomatous polyposis ( n = 1). Median ASA score was 2 (range = 1-3). Median operative time was 153 min (range = 132-278 min). Median estimated blood loss was 100 ml (range = 50-200 ml). There were no conversions to either a conventional laparoscopic or an open procedure. Median time to return of bowel function was 2 days. Median length of stay was 4 days (range = 3-6 days). Postoperative complications included two patients with partial small-bowel obstructions. Both resolved with conservative management. All patients had their ileostomies closed. Conclusion: RP/IPAA using SPLS is a safe technique. Additional studies are needed to compare SPLS to conventional laparoscopy and open surgery with respect to operative times, convalescence, and outcomes.
- Subjects
RESTORATIVE proctocolectomy; RECTAL diseases; GENITOURINARY diseases; LAPAROSCOPIC surgery; SURGICAL anastomosis; THERAPEUTICS
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2011, Vol 25, Issue 7, p2175
- ISSN
1866-6817
- Publication type
Article
- DOI
10.1007/s00464-010-1518-8