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Surgery Today

, 41:1519 | Cite as

Single-incision laparoscopy-assisted surgery for bowel obstruction: Report of three cases

  • Takao Ohtsuka
  • Eishi Nagai
  • Hiroki Toma
  • Kenoki Ohuchida
  • Hideki Takanami
  • Seiichi Odate
  • Daiki Eguchi
  • Takashi Ueki
  • Shuji Shimizu
  • Masao Tanaka
Case Report

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.

Key words

Single-incision laparoscopic surgery Single incision Single port Laparoscopy Bowel obstruction 

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Copyright information

© Springer 2011

Authors and Affiliations

  • Takao Ohtsuka
    • 1
  • Eishi Nagai
    • 1
  • Hiroki Toma
    • 1
  • Kenoki Ohuchida
    • 1
  • Hideki Takanami
    • 1
  • Seiichi Odate
    • 1
  • Daiki Eguchi
    • 1
  • Takashi Ueki
    • 1
  • Shuji Shimizu
    • 1
  • Masao Tanaka
    • 1
  1. 1.Department of Surgery and OncologyGraduate School of Medical Sciences, Kyushu UniversityFukuokaJapan

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