title: Single-incision laparoscopic surgery through an ostomy site: a natural approach by an unnatural orifice.
abstract: Single-incision laparoscopic surgery (SILS) is gaining popularity for a wide variety of surgical operations and capitalizes on the benefits of traditional laparoscopic surgery without incurring multiple incision sites. Traditionally, SILS is performed by a midline periumbilical approach. However, such a minimally invasive approach may be utilized in patients who already have an abdominal incision. Our series retrospectively reviews 7 cases in which we utilized the fascial defect at the time of after ostomy reversal as our SILS incision site. In turn, we performed a variety of concurrent intra-abdominal procedures with excellent technical success and outcomes. Our study is the largest single-institution case series of this novel approach and suggests that utilizing an existing ostomy-site abdominal incision is a safe and effective location for SILS port placement and should be considered in patients undergoing concurrent procedures.
authors.affiliation: Division of General Surgery, Department of Surgery Division of Surgical Oncology, Moores UCSD Cancer Center Division of Minimally Invasive Surgery Division of Colorectal Surgery, University of California, San Diego, UC San Diego Health System, La Jolla, CA.
authors.forename: Nicole E
authors.initials: NE
authors.lastname: Lopez
authors.forename: Carrie Y
authors.initials: CY
authors.lastname: Peterson
authors.forename: Sonia L
authors.initials: SL
authors.lastname: Ramamoorthy
authors.forename: Elisabeth C
authors.initials: EC
authors.lastname: McLemore
authors.forename: Michael F
authors.initials: MF
authors.lastname: Sedrak
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Lowy
authors.forename: Santiago
authors.initials: S
authors.lastname: Horgan
authors.forename: Mark A
authors.initials: MA
authors.lastname: Talamini
authors.forename: Jason K
authors.initials: JK
authors.lastname: Sicklick
mesh_terms: D000328:Adult; D003082:Colectomy / Q000009:adverse effects / Q000379:methods; D003110:Colonic Neoplasms / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000175:diagnosis / Q000601:surgery*; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D057605:Natural Orifice Endoscopic Surgery / Q000009:adverse effects / Q000379:methods*; D061646:Operative Time; D010030:Ostomy; D010190:Pancreatic Neoplasms / Q000175:diagnosis / Q000601:surgery*; D012189:Retrospective Studies
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