Laparoscopic single-port colectomy for sigmoid cancer.
BACKGROUND
Single-port laparoscopic surgery can be performed via one incision hidden in the umbilicus. Herein, we report a patient with a sigmoid colon cancer undergoing single-port laparoscopic sigmoid colectomy.


METHODS
Laparoscopic single-port sigmoid colectomy through a 3-cm umbilical incision was performed on a patient with a diagnosis of sigmoid cancer. Patient was 54-year-old female with a body mass index of 25.8 kg/m(2). Preoperatively, a CAT scan in the metastasis evaluation did not show any lesion.


RESULTS
The total operative time was 198 min. Estimated blood loss was 300 ml. Length of hospital stay was 3 days. Patient had no intraoperative or postoperative complications. Examination of pathological specimen showed a specimen containing a circumferential lesion measuring 5 cm x 2.5 cm x 2.5 cm with adequate surgical margins (10 and 5.5 cm), and no regional lymph node metastases in 14 lymph nodes collected. Patient did not receive adjuvant chemotherapy after surgery. Colonoscopy performed 1 year after surgery showed no neoplasm or polyp identified. Abdomen and pelvis CT also found no evidence of recurrence or metastatic disease.


CONCLUSIONS
Single-port laparoscopic surgery may allow common benign procedures via an incision in the umbilicus. It can also be performed with good surgical and oncologic results in selected patients with a colorectal cancer.
Remzi
F H
FH
Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA. remzif@ccf.org
Kirat
H T
HT
Geisler
D P
DP
D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008875:Middle Aged; D009367:Neoplasm Staging; D010149:Postoperative Pain; D012811:Sigmoid Neoplasms / Q000473:pathology* / Q000601:surgery*; D012812:Sigmoidoscopy / Q000379:methods; D016896:Treatment Outcome; D014472:Umbilicus / Q000601:surgery*