title: Single-incision laparoscopic ileocecal resection using an organ retractor.
abstract: BACKGROUND
  Single-incision laparoscopic surgery has been reported to be a safe and feasible technique for colorectal cancer. However, the technique needs skill due to the limitations of the device. An organ retractor is a new grasp device that has the potential to overcome these limitations.
  
  
  METHODS
  A 63-year-old woman with a tumor palpated in the right lower quadrant of the abdomen presented to hospital. Colonoscopy showed a type 2 mass with nearly complete stenosis, and a biopsy specimen showed well-differentiated adenocarcinoma. Single-incision laparoscopic surgery ileocecal resection was performed using an organ retractor. A 3-cm incision was placed in the umbilicus, and three conventional ports were inserted. An organ retractor was used for hepatocolic ligament resection, resection of the ileocolic vessels, and resection of the insertion of the mesentery proper. For each resection, the trailer line's tension was adjusted to provide a good operative view. The patient's postoperative course was good, and she was discharged 7days after surgery.
  
  
  CONCLUSIONS
  An organ retractor was effective for single-incision laparoscopic surgery technique not only to maintain a good operative view, but also to change trailer line tension, which enabled safe dissection.
  
  
  CONCLUSIONS
  An organ retractor could facilitate single-incision laparoscopic surgery.
authors.affiliation: Departments of Surgery, Nagasaki University Graduate School of Biological Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. Electronic address: tomitetsu2000@yahoo.co.jp.
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Tominaga
authors.affiliation: Departments of Surgery, Nagasaki University Graduate School of Biological Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. Electronic address: tnonaka@nagasaki-mc.com.
authors.forename: Takashi
authors.initials: T
authors.lastname: Nonaka
authors.affiliation: Departments of Surgery, Nagasaki University Graduate School of Biological Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. Electronic address: kou-waka@hotmail.co.jp.
authors.forename: Kouki
authors.initials: K
authors.lastname: Wakata
authors.affiliation: Departments of Surgery, Nagasaki University Graduate School of Biological Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. Electronic address: kunisakimasaki2002@yahoo.co.jp.
authors.forename: Masaki
authors.initials: M
authors.lastname: Kunizaki
authors.affiliation: Departments of Surgery, Nagasaki University Graduate School of Biological Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. Electronic address: sh.toby577@gmail.com.
authors.forename: Shuichi
authors.initials: S
authors.lastname: Tobinaga
authors.affiliation: Departments of Surgery, Nagasaki University Graduate School of Biological Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. Electronic address: y-sumida@nagasaki-u.ac.jp.
authors.forename: Yorihisa
authors.initials: Y
authors.lastname: Sumida
authors.affiliation: Departments of Surgery, Nagasaki University Graduate School of Biological Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. Electronic address: hidaka-s@nagasaki-u.ac.jp.
authors.forename: Shigekazu
authors.initials: S
authors.lastname: Hidaka
authors.affiliation: Departments of Cardiopulmonary Rehabilitation Science, Division of Surgical Oncology, Nagasaki University Graduate School of Biological Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. Electronic address: sawai@nagasaki-u.ac.jp.
authors.forename: Terumitsu
authors.initials: T
authors.lastname: Sawai
authors.affiliation: Departments of Surgery, Nagasaki University Graduate School of Biological Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. Electronic address: nagayasu@nagasaki-u.ac.jp.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Nagayasu
keywords: Colectomy; Organ retractor; Single-incision laparoscopic surgery