Single‐port laparoscopic right colonic resection

Abstract

Single-port laparoscopic techniques can be applied to colonic surgery. It negates morbidity associated with trochar insertion and port sites. It should be performed by surgeons familiar with laparoscopic colorectal techniques.

Single-incision versus conventional laparoscopic sigmoid colectomy: a case-matched series

“…The technique has been employed successfully for a number of colorectal procedures, including right hemicolectomy [2,4,6,8,9,[20][21][22][23][24][25], total colectomy [26][27][28], proctocolectomy with ileal pouch anal anastomosis [28,29], and left colectomy [2,25,30]. Several case reports and series have been published involving use of the SILC technique for sigmoid resection [3,7,[31][32][33][34][35][36][37][38], the largest of which included 10 consecutive patients who underwent resection for recurrent diverticulitis [38].…”

Outcomes for case‐matched single‐port colectomy are comparable with conventional laparoscopic colectomy

“…At present, single-port laparoscopic colectomy is performed with a commercially available portaccess device, which is inserted by a small transumbilical incision. After initial case reports on single-port colectomy [3][4][5][6][7][8][9][10], there are 16 case series [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] in the literature to date, providing level IV evidence ( Table 2). Two reports describe single incision colectomy with multiple trocars through one umbilical incision [16,17], but most groups use commercially available port-access devices [11][12][13][14][15][18][19][20][21][22][23][24][25][26].…”

“…For malignant disease, all surgical margins were negative, with at least the required minimum of 5 cm, in both groups. On pathological examination, there were three adenomas and three early malignant tumours (pT1N1, pTisN0, pTisN0) in the single-port colectomy group, with a median of 12 retrieved lymph nodes (range [8][9][10][11][12][13][14][15][16][17]. The number of lymph nodes extracted in the malignant specimen was 12, with one positive node.…”

A historical comparison of single incision and conventional multiport laparoscopic right hemicolectomy

“…The benefits of laparoscopic surgery for colorectal resection are well reported but a standard multiport technique still carries the risk of trocar-related injury, haemorrhage and hernia. This has led to the development of single port techniques which have to date been used for surgery to the appendix, gallbladder, kidney and most recently the colon [9][10][11][12][13][14][15]. A recent systematic review by Makino et al [13] has shown that single incision laparoscopic right colectomy is safe and feasible when performed by skilled laparoscopic surgeons.…”