title: Early-elective single-incision laparoscopic sigmoidectomy for perforated diverticulitis using a totally reusable single-port device.
abstract: BACKGROUND
  Single-port access (SPA) is an emerging concept in minimally invasive colorectal surgery. The authors report their experience using SPA sigmoidectomy as an early-elective approach to complicated diverticulitis with paracolic abscess.
  
  
  METHODS
  Between September 2009 und April 2010, 4 patients underwent SPA sigmoidectomy for Hinchey-I diverticulitis using the reusable X-Cone device.
  
  
  RESULTS
  After a median time of antibiotic treatment of 8 days, SPA sigmoidectomy was performed successfully in all patients. The median operative time was 200 minutes (range, 187-221 minutes). No intraoperative or postoperative complications were recorded; the median postoperative hospital stay was 7 days (range, 5-7 days). No incisional hernias were observed at midterm follow-up (median, 11.5 months; range, 8-14 months).
  
  
  CONCLUSIONS
  When performed by an experienced laparoscopic surgeon, early-elective SPA sigmoidectomy is a feasible and safe approach to complicated diverticulitis. The reusability of the X-Cone device ensures that the costs of the procedure are not high.
authors.affiliation: Department of General, Visceral, Vascular and Pediatric Surgery, University Hospital of Würzburg, Würzburg, Germany. reibetanz_j@chirurgie.uni-wuerzburg.de
authors.forename: Joachim
authors.initials: J
authors.lastname: Reibetanz
authors.forename: Alexander
authors.initials: A
authors.lastname: Kerscher
authors.forename: Mia
authors.initials: M
authors.lastname: Kim
authors.forename: Alexander
authors.initials: A
authors.lastname: Wierlemann
authors.forename: Christoph-Thomas
authors.initials: CT
authors.lastname: Germer
authors.forename: Katica
authors.initials: K
authors.lastname: Krajinovic
mesh_terms: D000368:Aged; D012809:Colon, Sigmoid / Q000601:surgery*; D004238:Diverticulitis / Q000000981:diagnostic imaging / Q000601:surgery*; D017558:Elective Surgical Procedures; D017743:Equipment Reuse; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000000981:diagnostic imaging / Q000601:surgery*; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014472:Umbilicus