title: Single-port laparoscopic reversal of Hartmann's procedure via the colostomy site.
abstract: BACKGROUND
  The aim of this study was to report our initial experience with single-port laparoscopic reversal of Hartmann's procedure (SP-LHR).
  
  
  METHODS
  Between December 2009 and March 2014, 23 patients underwent single-port laparoscopic reversal of Hartmann's procedure. Single-port laparoscopic surgeries (SPLS) were performed through the preexisting stoma site. A commercially available single port with one 5 mm and two 12 mm trocars was used with conventional straight and rigid laparoscopic instruments. Patient demographics and operative and postoperative outcomes were analyzed.
  
  
  RESULTS
  SP-LHR was successful in 22 patients. No additional incisions for trocars or conversions to open surgery were necessary. In 1 patient, the procedure was aborted. The median operative time and postoperative length of stay were 165 min (range, 100-340 min) and 8 days (range, 4-31 days), respectively. The median time to the resumption of oral intake was 3 days (range, 1-16 days). No intraoperative complications were noted; there were four postoperative complications including one anastomotic leak.
  
  
  CONCLUSIONS
  In our experience, SP-LHR via the colostomy site was safe and feasible, and may be considered an additional surgical option for experienced SPLS surgeons in selected patients.
authors.affiliation: Department of Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea, Daejeon, Republic of Korea.
authors.forename: Byung Jo
authors.initials: BJ
authors.lastname: Choi
authors.affiliation: Department of Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea, Daejeon, Republic of Korea.
authors.forename: Won Jun
authors.initials: WJ
authors.lastname: Jeong
authors.affiliation: Department of Surgery, Daejeon Sun Hospital, Daejeon, Republic of Korea.
authors.forename: Young Kyun
authors.initials: YK
authors.lastname: Kim
authors.affiliation: Department of Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea, Daejeon, Republic of Korea.
authors.forename: Say-June
authors.initials: SJ
authors.lastname: Kim
authors.affiliation: Department of Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea, Daejeon, Republic of Korea. Electronic address: zambo9@catholic.ac.kr.
authors.forename: Sang Chul
authors.initials: SC
authors.lastname: Lee
mesh_terms: D000328:Adult; D000368:Aged; D003125:Colostomy; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D012189:Retrospective Studies; D055815:Young Adult
keywords: Laparoscopy; Reversal of Hartmann's procedure; Single-port