title: Single-incision laparoscopy-assisted surgery for bowel obstruction: report of three cases.
abstract: We applied single-incision laparoscopy-assisted surgery for several different types of bowel obstruction in selected patients. Before the operation, a long nasal tube was inserted for intestinal decompression and assessment of a stenotic lesion. A specially-designed instrument for single-incision laparoscopic surgery, the SILS Port, was introduced at the umbilicus or proposed ileostomy site. After intracorporeal procedures, extracorporeal resection and reconstruction of the intestine was performed as needed. Three patients with bowel obstruction due to jejunal carcinoma, colonic stenosis, and adhesion underwent single-incision laparoscopy-assisted surgery. The port site was used for subsequent extracorporeal resection and anastomosis of the jejunum in two patients, and for ileostomy in the remaining patient. All of the procedures were completed safely, and there were no postoperative complications. Single-incision laparoscopy can therefore be applied for selected patients with bowel obstruction. In such cases, the preoperative insertion of a long nasal tube for decompression of intestinal contents and assessment of the stenotic lesion is necessary.
authors.affiliation: Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
authors.forename: Takao
authors.initials: T
authors.lastname: Ohtsuka
authors.forename: Eishi
authors.initials: E
authors.lastname: Nagai
authors.forename: Hiroki
authors.initials: H
authors.lastname: Toma
authors.forename: Kenoki
authors.initials: K
authors.lastname: Ohuchida
authors.forename: Hideki
authors.initials: H
authors.lastname: Takanami
authors.forename: Seiichi
authors.initials: S
authors.lastname: Odate
authors.forename: Daiki
authors.initials: D
authors.lastname: Eguchi
authors.forename: Takashi
authors.initials: T
authors.lastname: Ueki
authors.forename: Shuji
authors.initials: S
authors.lastname: Shimizu
authors.forename: Masao
authors.initials: M
authors.lastname: Tanaka
mesh_terms: D000328:Adult; D000368:Aged; D003108:Colonic Diseases / Q000209:etiology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D007580:Jejunal Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D012494:Sampling Studies; D000267:Tissue Adhesions / Q000150:complications / Q000175:diagnosis; D016896:Treatment Outcome; D014472:Umbilicus / Q000601:surgery*