title: Single-incision laparoscopic-assisted ileal resection for adult intussusception.
abstract: Adult intussusception is rare and laparotomy is required in most of the cases due to the potential pathologic underlying reasons. Although it is technically challenging, single-incision laparoscopic surgery can work as an alternative to laparotomy. Here we report the case of a 45-year-old man with intermittent right lower quadrant abdominal pain for 1 month. Abdominal enhanced computed tomography (CT) scan was performed and ileo-ileal intussusception was found, with lipoma as a likely leading point. Ileal resection was performed using the single-incision laparoscopic-assisted technique. Multiple trocars in the umbilical incision technique and conventional instruments were used. After identification of the ileo-ileal intussusception, the involved small bowel was extracted from the umbilical incision, and resection and anastomosis were performed extracoporeally. The operation time was 65 min and the post-operative hospital stay was 2 days. The patient recovered uneventfully, with better cosmetic results.
authors.affiliation: Department of General Surgery, Sheng Jing Hospital, China Medical University, Shenyang, China.
authors.forename: Hong
authors.initials: H
authors.lastname: Yu
authors.affiliation: Department of General Surgery, Sheng Jing Hospital, China Medical University, Shenyang, China.
authors.forename: Shuodong
authors.initials: S
authors.lastname: Wu
authors.affiliation: Department of General Surgery, Sheng Jing Hospital, China Medical University, Shenyang, China.
authors.forename: Renzhong
authors.initials: R
authors.lastname: Zhu
authors.affiliation: Department of General Surgery, Sheng Jing Hospital, China Medical University, Shenyang, China.
authors.forename: Xiaopeng
authors.initials: X
authors.lastname: Yu
keywords: Adult intussusception; ileal polyp; single-incision laparoscopic surgery