Single incision laparoscopic total colectomy and proctocolectomy for benign disease: initial experience.
OBJECTIVE
This paper presents our initial experience of single incision laparoscopic total colectomy and proctocolectomy.


METHODS
Four female patients (mean age 35.5 years; mean body mass index 24.7 kg/m(2) ) underwent total colectomy with end ileostomy (n = 2) and proctocolectomy with stapled ileum pouch-anal (n = 1) and rectal (n = 1) anastomosis with loop ileostomy, for benign disease, using a single-incision laparoscopic approach. The single port was placed at the umbilicus or the ileostomy site. Specimen extraction was through the port site.


RESULTS
Operative procedures were performed with a mean operative time of 212 min, mean blood loss of 30 ml and no intraoperative complication. No additional abdominal ports were required. A postoperative ileus (n = 1) on day three resolved spontaneously and the. mean hospital stay was 4.5 days.


CONCLUSIONS
Single-incision laparoscopic total colectomy or proctocolectomy is feasible for benign disease in selected patients.
Division of Colorectal Surgery, University Hospitals Case Medical Center, Cleveland, Ohio 44106-5047, USA.
F
F
Leblanc
R
R
Makhija
B J
BJ
Champagne
C P
CP
Delaney
D011125:Adenomatous Polyposis Coli / Q000601:surgery; D000293:Adolescent; D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical; D003082:Colectomy / Q000379:methods*; D003093:Colitis, Ulcerative / Q000601:surgery; D003424:Crohn Disease / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D016737:Proctocolectomy, Restorative / Q000379:methods*; D013997:Time Factors; D014472:Umbilicus / Q000601:surgery; D055815:Young Adult