TITLE

Restorative restproctectomy as single-port surgery through the ostomy site in a three-stage procedure

AUTHOR(S)
Bulian, Dirk; Knuth, J├╝rgen; Krakamp, Bernd; Heiss, Markus
PUB. DATE
December 2012
SOURCE
Surgical Endoscopy;Dec2012, Vol. 26 Issue 12, p3688
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Purpose: 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. Surgical technique: 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. Results: We employed this technique in a 54 year-old patient who had suffered from ulcerative colitis. No postoperative complications were observed. Conclusions: 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.
ACCESSION #
83588711

 

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